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Individual

ANGELA KELLUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
13809 MESA RD, OCEAN SPRINGS, MS 39564-2561
(504) 251-3144
Mailing address
13809 MESA RD, OCEAN SPRINGS, MS 39564-2561

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-07778
MS
183500000X
Pharmacist
PHY.007455-IR
LA

Other

Enumeration date
09/29/2025
Last updated
09/29/2025
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