Michael E Kellam Jr. (NPI# 1851491765, PAC ID# 0143391904) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORAL SURGERY.
Nation Provider ID (NPI) | 1851491765 |
PAC ID by PECOS | 0143391904 |
Professional Enrollment ID | I20080623000096 |
Full Name | Michael E Kellam Jr. |
Address |
1064 Industrial Pkwy Saraland AL 36571-3720 |
Gender | M |
Medical School | TEMPLE UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 2000 |
Primary Specialty | ORAL SURGERY |
Accepts Medicare Assignment | M |
Address | Phone | Organization |
---|---|---|
1064 Industrial Pkwy, Saraland, AL 36571-3720 |
Street Address |
1064 INDUSTRIAL PKWY |
City | SARALAND |
State | AL |
Zip | 36571-3720 |
Name | Specialty | Organization | Address |
---|---|---|---|
Brian Risser | Physical Therapy | Saraland Physical Therapy Services Inc | 205 Hwy 43 N, Saraland, AL 36571-2126 |
Aimee M Maxwell | Physical Therapy | Saraland Physical Therapy Services Inc | 205 Hwy 43 N, Saraland, AL 36571-2126 |
Amanda Lord | Nurse Practitioner | Alabama Providence Healthcare Services | 18 C M Rambo Dr, Saraland, AL 36571-2147 |
Damian J Collins | Internal Medicine | Imc-diagnostic and Medical Clinic PC | 95 Shell Rd, Saraland, AL 36571-2202 |
Stephen T Simpson Jr. | Emergency Medicine | Imc-diagnostic and Medical Clinic PC | 95 Shell Rd, Saraland, AL 36571-2202 |
Scott Q Carver | Family Medicine | Imc-diagnostic and Medical Clinic PC | 95 Shell Rd, Saraland, AL 36571-2202 |
Larry B Thead | Family Medicine | Imc-diagnostic and Medical Clinic PC | 95 Shell Rd, Saraland, AL 36571-2202 |
Jason R West | Family Medicine | Imc-diagnostic and Medical Clinic PC | 95 Shell Rd, Saraland, AL 36571-2202 |
Richard J Valentine | Family Medicine | Imc-diagnostic and Medical Clinic PC | 95 Shell Rd, Saraland, AL 36571-2202 |
Samuel B Hooks Iii | Gastroenterology | Imc-diagnostic and Medical Clinic PC | 95 Shell Rd, Saraland, AL 36571-2202 |
Find all physicians in zip 36571 |
City | SARALAND |
Zip Code | 36571 |
Specialty | ORAL SURGERY |
City + Specialty | SARALAND + ORAL SURGERY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.