MRS. ALYSSA BROOKE KELLAMS NP NPI 1023585569

NPI Information

NPI: 1023585569
Provider Name: MRS. ALYSSA BROOKE KELLAMS, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
2418 16TH ST
BEDFORD, IN
ZIP 47421
Phone: (812) 508-8683
Get Directions

MRS. Alyssa Brooke Kellams, NP is a family nurse practitioner in Bedford, IN. MRS. Alyssa Brooke Kellams, NP NPI is 1023585569. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2418 16TH ST
BEDFORD, IN
ZIP 47421-049
Phone: (812) 508-8683

The NPI 1023585569 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/1/2018 and was last updated on 11/1/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	71008512A	INDIANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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