Kelllum, Lisa

Kelllum, Lisa is an individual health care provider with primary practice located at 2440 Grand Ave , San Diego CA 92109-4858. She recently has only one registered license in Nursing Service Providers / Case Management, which is considered as her primary health care specialty. Kelllum, Lisa can be contacted via phone (858) 490-4426.

Contact Information

Primary practice address
2440 Grand Ave San Diego CA 92109-4858
Phone: (858) 490-4426
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Case Management 163WC0400X RN469227 California

Profile Details

NPI number 1629107586
LBN Legal business name Kelllum, Lisa
Credentials RN BSN PHN
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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