Kellum, Stacy

Kellum, Stacy is an sole proprietor health care provider with primary practice located at 527 N 5Th St , Oneill NE 68763-1327. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kellum, Stacy can be contacted via phone (402) 540-1804.

Contact Information

Primary practice address
527 N 5Th St Oneill NE 68763-1327
Phone: (402) 540-1804
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 113220 Nebraska

Profile Details

NPI number 1740865914
LBN Legal business name Kellum, Stacy
Credentials FNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 10th, 2021
Last updated Mar 10th, 2021 - about 5 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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