Individual
KELLI MCCALLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T. ASSISTANT
Contact information
Practice address
1600 CHARLES PL, MANHATTAN, KS 66502-2750
(785) 537-4200
(785) 537-4354
Mailing address
1600 CHARLES PL, MANHATTAN, KS 66502-2750
(785) 537-4200
(785) 537-4354
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
14-01835
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14-01835
KS LICENSE
—
Enumeration date
08/13/2010
Last updated
08/31/2010
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