Individual
MISS CARMISHA KELLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
1100 MERRILL ST, HOUSTON, TX 77009-6009
(713) 864-7614
(713) 864-9004
Mailing address
25319 HOLTON RIDGE DR, KATY, TX 77494-1434
(832) 620-6988
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP128781
TX
363LF0000X
Family Nurse Practitioner
769783
TX
Other
Enumeration date
01/22/2016
Last updated
10/27/2022
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