Active NPIIndividual provider

Mark A Deleon Kellam

Counselor in Holbrook, Massachusetts

NPI Number1659887735
Practice location
110 Longmeadow Dr, Holbrook, MA 02343-2246
Fax
—
Last updated
December 27, 2017

Mark Anthony Deleon Kellam is a Counselor based in Holbrook, MA. Mark Anthony Deleon Kellam practices in Holbrook, MA. The NPI Number for Mark Anthony Deleon Kellam is 1659887735. The current practice location address for Mark Anthony Deleon Kellam is 110 Longmeadow Dr, Holbrook, MA 02343-2246 and can be reached out via phone at 978-578-6346.

Provider Profile Details

NPI Number
1659887735
Provider Name
Mark Anthony Deleon Kellam
Provider Entity Type
Individual
Gender
Male
Address
110 Longmeadow Dr, Holbrook, MA 02343-2246
Phone Number
978-578-6346
Primary Taxonomy
Counselor · 101Y00000X
Sole Proprietor
No
Provider Enumeration Date
December 27, 2017
Last Update Date
December 27, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
110 Longmeadow Dr
Holbrook, MA 02343-2246
Zip
02343-2246
Phone Number
978-578-6346
Holbrook, MA 02343Get directions →

Provider Business Mailing Address Details

Address
110 Longmeadow Dr
Holbrook, MA 02343-2246
City
Holbrook
State
MA
Zip
02343-2246
Phone Number
978-578-6346

License Information

Taxonomy
Counselor · 101Y00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mark A Deleon Kellam?

The NPI number of Mark A Deleon Kellam is 1659887735. It was assigned on December 27, 2017 and is currently active in the NPPES registry.

What is the specialty of Mark A Deleon Kellam?

Mark A Deleon Kellam is registered under the primary taxonomy Counselor (code 101Y00000X).

Where does Mark A Deleon Kellam practice?

The practice location is 110 Longmeadow Dr, Holbrook, MA 02343-2246. The office can be reached at 978-578-6346 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1659887735 directly on the NPPES registry website.

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