Individual
MR. HARRY RUSSELL KELLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW MASTER SOCIAL W
Contact information
Practice address
1310 24TH AVE SOUTH, DEPT OF VETERANS AFFAIRS HOSPITAL, NASHVILLE, TN 37212
(615) 327-5320
(615) 321-6353
Mailing address
914 SUTTON HILL ROAD, NASHVILLE, TN 37204
(615) 385-1604
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4327269
TN
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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