Individual
MR. DARNELL V KELLAM JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3410 MISSION AVE APT 35, CARMICHAEL, CA 95608-3161
(678) 457-1598
Mailing address
3410 MISSION AVE APT 35, CARMICHAEL, CA 95608-3161
(678) 457-1598
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
Y4692667
CA
Other
Enumeration date
07/26/2019
Last updated
07/26/2019
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