Search › Minnesota › 251S00000X
Wauneka Kellum
NPI 1821673518 · on the registry since 2021 · sole proprietor
Practice
- Address
- 7940 Sierra Pkwy
Brooklyn Park, MN 55444 - Phone
- (763) 587-3804
- Organisation at this address
- New Generations
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 251S00000X
251S00000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-03-14
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 Minnesota