Individual
MRS. ALYSSA BROOKE KELLAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2418 16TH ST, BEDFORD, IN 47421-3049
(812) 508-8683
Mailing address
51 S BALLARD LN, FRENCH LICK, IN 47432-9351
(812) 528-2351
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71008512A
IN
Other
Enumeration date
11/01/2018
Last updated
11/01/2018
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