Mrs Kimberly A Kellum, MS/LPC is a
Counselor - Professional based in Munford, Tennessee. Mrs Kimberly A Kellum is licensed to practice in Tennessee (license number 4022) and her current practice location is
3865 Beaver Rd, Munford, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(901) 586-6317.
NPI number for Mrs Kimberly A Kellum is 1609960376 and her current mailing address is Po Box 170, Burlison, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1609960376.
Healthcare Provider's Profile
| Full Name | Mrs Kimberly A Kellum |
|---|
| Gender | Female |
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| Speciality | Counselor - Professional |
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| Location | 3865 Beaver Rd, Munford, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1609960376
- Provider Enumeration Date: 10/03/2006
- Last Update Date: 11/11/2021
Medical Identifiers
Medical identifiers for Mrs Kimberly A Kellum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609960376 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | P0802017 (Arkansas) | Secondary |
| 101YP2500X | Counselor - Professional | 4022 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kimberly A Kellum is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Kimberly A Kellum, MS/LPC
Po Box 170,
Burlison, TN 38015-0170
Ph: (019) 586-6317 | Mrs Kimberly A Kellum, MS/LPC
3865 Beaver Rd,
Munford, TN 38058-4277
Ph: (901) 586-6317 |
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