BRIAN KELLUM

INDIANAPOLIS, IN
NPI1669699104
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2251G0304X Physical Therapist, Geriatrics
(Licence: IN  05006047A)
Enumeration Date2007-04-19
Last Update Date2007-07-08
Business Address
Mr. BRIAN KELLUM MSPT
6306 SILVER MOON CT
INDIANAPOLIS, IN 46259-8749
Phone number: 317-862-6717
Mailing Address
Mr. BRIAN KELLUM MSPT
6306 SILVER MOON CT
INDIANAPOLIS, IN 46259-8749
Phone number: 317-862-6717
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