Individual
KELLY DEAN SHRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
535 JORDAN DR, MONTICELLO, AR 71655-5714
(870) 367-6246
Mailing address
342 HIGHWAY 425 S, MONTICELLO, AR 71655-4612
(870) 942-3000
(870) 942-3005
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
E0704
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136791003
—
AR
01
—
18424000000
QUALCHOICE
AR
Enumeration date
01/23/2006
Last updated
03/26/2026
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