Organization
MARION AREA NEUROLOGICAL CONSULTING
Active
Other names
Marion Area Neurological Consulting
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSE B. KELLUM JR. M.D. (M.D. OWNER)
(740) 725-8300
Entity
Organization
Contact information
Practice address
1728 MARION WALDO RD, SUITE B, MARION, OH 43302-7457
(740) 725-8300
(740) 725-1213
Mailing address
1728 MARION WALDO RD, SUITE B, MARION, OH 43302-7457
(740) 725-8300
(740) 725-1213
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35051174K
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0599580
—
OH
Enumeration date
11/20/2007
Last updated
10/31/2012
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