Individual
KATHIE KELLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
399 MULBERRY AVE, SELMER, TN 38375-2305
(731) 645-6182
(731) 645-6001
Mailing address
68 COUNTY ROAD 68, GOLDEN, MS 38847-7756
(662) 454-7558
(731) 645-6001
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8385
TN
Other
Enumeration date
01/06/2011
Last updated
01/06/2011
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