Individual
SIMON KELUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4989 BRISTLE CONE CIR, ABERDEEN, MD 21001-2605
(301) 237-2026
Mailing address
4989 BRISTLE CONE CIR, ABERDEEN, MD 21001-2605
(301) 237-2026
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
R4244P
MD
Other
Enumeration date
05/26/2018
Last updated
05/26/2018
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