Individual
ROSALIND L. KELLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-2775
(570) 271-6523
(570) 271-8056
Mailing address
100 N ACADEMY AVE, CREDENTIALS DEPT, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN655054
PA
363L00000X
Nurse Practitioner
Primary
SP013512
PA
Other
Enumeration date
05/10/2006
Last updated
08/21/2020
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