EMILY KELLUM NPI 1275403974

NPI Information

  • NPI: 1275403974
  • Provider Name: EMILY KELLUM
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 3710 LOGUE RD
    MYAKKA CITY, FL
    ZIP 34251
  • Phone: (513) 658-1258

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NPI Details

Emily Kellum is a psychiatric/mental health nurse practitioner in Myakka City, FL. Emily Kellum NPI is 1275403974. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3710 LOGUE RD
MYAKKA CITY, FL
ZIP 34251-731
Phone: (513) 658-1258

The enumeration date for this NPI number is 11/7/2025 and was last updated on 11/7/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthAPRN11043512FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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