Individual
ARLENE KELLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4516 US HWY 11 EAST, BLUFF CITY, TN 37618
(423) 538-5197
Mailing address
4516 US HWY 11 EAST, BLUFF CITY, TN 37618
(423) 538-5197
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0000005388
TN
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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