Individual
DR. JESSE BLAKE KELLUM JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1272 GARRISON DR, MURFREESBORO, TN 37129-2598
(615) 867-8090
(675) 867-8093
Mailing address
1272 GARRISON DR, MURFREESBORO, TN 37129-2598
(615) 867-8090
(675) 867-8093
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
51465
TN
Other
Enumeration date
08/08/2006
Last updated
06/26/2020
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