Rebecca Kellems
Technician, Personal Care Attendant in Devils Lake, ND. Individual provider (NPI-1).
NPI number1104607282
StatusActive
Last updated in NPPESOct 13, 2023
Details
- NPI
- 1104607282
- Entity type
- Individual (NPI-1)
- Name
- Rebecca Kellems
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 13, 2023
- Certification date
- Oct 13, 2023
- Last updated
- Oct 13, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | ND | Yes |
Practice location
31 Pitcher Park SeDevils Lake, ND 58301-3909
Phone 701-230-1474
Mailing address
31 Pitcher Park SeDevils Lake, ND 58301-3909
Phone 701-230-1474
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 65 Personal Care Attendant providers in Devils Lake · All 575 providers in Devils Lake
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