Individual
MR. BRIAN KELLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
6306 SILVER MOON CT, INDIANAPOLIS, IN 46259-8749
(317) 862-6717
Mailing address
6306 SILVER MOON CT, INDIANAPOLIS, IN 46259-8749
(317) 862-6717
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
05006047A
IN
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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