Lauren Ashley Kellum
Nurse Practitioner, Family in Huntsville, AL. Individual provider (NPI-1).
NPI number1982178935
StatusActive
Last updated in NPPESJan 13, 2019
Details
- NPI
- 1982178935
- Entity type
- Individual (NPI-1)
- Name
- Lauren Ashley Kellum
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 13, 2019
- Last updated
- Jan 13, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 1-148328 | AL | Yes |
Practice location
3007 Memorial Pkwy Sw Ste BHuntsville, AL 35801-5394
Phone 256-799-2500
Mailing address
211 Cozy Creek RdMeridianville, AL 35759-1331
Phone 256-797-4086
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