Search › Idaho › 122300000X
Benjamin Kellum, DDS
NPI 1225481930 · on the registry since 2016 · sole proprietor
Practice
- Address
- Idaho State University
Pocatello, ID 83209 - Phone
- (208) 282-3289
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-07-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho