Doctor Name: | REBECCA I KELLUM |
NPI Number: | 1992894372 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 49401 |
Business Practice Address: | 801 N 29th St Billings, MT - 591010905 |
Business Phone Number: | 4062382500 |
Business Fax Number: | |
Mailing Address: | Po Box 35100, BILLINGS |
State: | MT |
Postal Code: | 591075100 |
Phone Number: | 4062382500 |
Fax Number: | |
NPI Enumeration Date: | 10/12/2006 |
NPI Last Update Date: | 12/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 49401 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |