Individual
CASSANDRA L. KELLAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
203 W 1ST ST, BLOOMINGTON, IN 47403-2504
(812) 668-1946
(812) 287-8438
Mailing address
10782 W OLD VINCENNES RD, WEST BADEN SPRINGS, IN 47469-9669
(812) 508-1143
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71016302A
IN
Other
Enumeration date
08/08/2024
Last updated
09/24/2025
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