Kellum, John Hansford

Kellum, John Hansford is an individual health care provider with primary practice located at 3903 Wiseman Blvd Suite 215, San Antonio TX 78251-4401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Kellum, John Hansford can be contacted via phone (210) 675-6724.

Contact Information

Primary practice address
3903 Wiseman Blvd Suite 215 San Antonio TX 78251-4401
Phone: (210) 675-6724
Fax: (210) 675-1759
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X J0844 Texas

Profile Details

NPI number 1255326989
LBN Legal business name Kellum, John Hansford
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2005
Last updated Nov 21st, 2016 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1255326989 NPPES
Texas MEDICAID 115386801

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