Individual
MR. MICHAEL EDWARD KELLAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1064 INDUSTRIAL PKWY, SARALAND, AL 36571-3720
(251) 675-4313
(251) 675-4355
Mailing address
1064 INDUSTRIAL PARKWAY, SARALAND, AL 36571
(251) 675-4313
(251) 675-4355
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
5252
AL
Other
Enumeration date
09/22/2006
Last updated
02/08/2009
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