Individual
PATRICK KELLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
701 3RD AVE NW, JAMESTOWN, ND 58401-3020
(701) 252-3850
Mailing address
701 3RD AVE NW, JAMESTOWN, ND 58401-3020
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L23
ND
Other
Enumeration date
11/21/2016
Last updated
11/21/2016
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