Dr. Nicole Renee Kellum
Naturopath
531 E Lynwood St
Phoenix
, Arizona 85004-1626
Dr. Nicole Renee Kellum
Naturopath
531 E Lynwood St
Phoenix
, Arizona 85004-1626
(603) 660-8972
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About
Features
Specialties
- Naturopath
Languages spoken
- English
Location
First Address
- Dr. Nicole Renee Kellum
- 10435 N Scottsdale Rd
- Scottsdale, AZ
- Zip : 85253-4530
- Phone : (603) 660-8972
Second Address
- Dr. Nicole Renee Kellum
- 531 E Lynwood St
- Phoenix, AZ
- Zip : 85004-1626
- Fax : (602) 626-3555
- Phone : (603) 660-8972
Reviews
FAQs
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Is Dr. Nicole Renee Kellum a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 175F00000X | Naturopath | 09-1131 | AZ |
National Provider Identifier
| NPI | 1043339468 |
|---|---|
| Provider Name | Dr. Nicole Renee Kellum |
| First Address | Scottsdale, AZ 85253-4530 |
| Second Address | Phoenix, AZ 85004-1626 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/03/2007 |
| Last Update Date | 20/08/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.