Marietta Kellum, RN
NPI #1770248759 in Carterville, Illinois
Provider Information
- NPI Number
- 1770248759
- Entity Type
- Individual
- Name
- Marietta Kellum, RN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Registered Nurse
- Credential
- RN
- Enumeration Date
- Nov 3, 2021
- Last Updated
- Nov 3, 2021
Practice Location
- Address
- 14999 PACKER LN
- City
- Carterville
- State
- Illinois
- ZIP Code
- 62918-3242
- Phone
- (618) 967-8709
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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