DR. BENJAMIN KELLUM, DDS

Dentist

Active Individual
NPI: 1225481930

Practice Address

IDAHO STATE UNIVERSITY
Pocatello, ID 83209

Phone: (208) 282-3289

Specialties

Specialty Code Primary License
Dentist 122300000X Yes D4772 (ID)

Frequently Asked Questions

NPI 1225481930 is the National Provider Identifier for DR. BENJAMIN KELLUM, DDS, a Dentist provider located in Pocatello, ID. This NPI was enumerated on July 18, 2016.
DR. BENJAMIN KELLUM, DDS practices at IDAHO STATE UNIVERSITY, Pocatello, ID 83209.

Quick Facts

NPI
1225481930
Type
Individual
Enumerated
Jul 18, 2016
Last Updated
Jul 18, 2016

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