Individual
HANNAH MICHELLE KELLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
504 N 5TH ST, TEMPLE, TX 76501-3112
(254) 778-0489
Mailing address
3009 IRA YOUNG DR APT 804, TEMPLE, TX 76504-6350
(775) 340-2728
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1100253
TX
Other
Enumeration date
07/10/2024
Last updated
07/10/2024
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