MICAH KELLUM

HOUSTON, TX
NPI1124583430
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TX  AP140431)
Enumeration Date2019-01-31
Last Update Date2021-11-22
Business Address
Mr. MICAH KELLUM CRNA
18500 KATY FWY
HOUSTON, TX 77094-1110
Phone number: 832-522-1000
Mailing Address
Mr. MICAH KELLUM CRNA
30711 SPANISH MOSS XING
FULSHEAR, TX 77441-3709
Phone number: 713-560-9519
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