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Contact Information

BRIAN KELLUM, MSPT
6306 SILVER MOON CT
INDIANAPOLIS, IN46259-8749
 Phone: 317-862-6717
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for BRIAN KELLUM · (Male)

NPI # 1669699104
Status Active
Credentials MSPT (Master of Science in Physical Therapy)
Entity Individual
Enumeration date 04/19/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 05006047A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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