person
D Michael Kellam, MD
Diagnostic Radiology Physician in Cheyenne, Wyoming
NPI 1982648937

D Michael Kellam is a Diagnostic Radiology Physician based in Cheyenne, WY and is specialized in Diagnostic Radiology. D Michael Kellam practices in Cheyenne, WY and has the professional credentials of MD. The NPI Number for D Michael Kellam is 1982648937 and holds a License No. 4219A (Wyoming).

The current practice location address for D Michael Kellam is 800 E 20Th St, Cheyenne, WY and can be reached out via phone at 307-634-7711. You can also correspond with D Michael Kellam through the mailing address at 800 E 20TH ST, CHEYENNE, WY - 82001-3859 (mailing address contact number: 307-634-7711).

Location: 800 E 20Th St, Cheyenne, WY, 82001-3859
person
Provider Profile Details
NPI Number
1982648937
Provider Name
D Michael Kellam
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
800 E 20Th St, Cheyenne, WY, 82001-3859
Phone Number
307-634-7711
Fax Number
Provider Enumeration Date
06/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
306010 01 WY BCBS OF WYOMING CRG
91042192 05 CO
104015400 05 WY
303602 01 WY BCBS OF WYOMING MRI
institution
Provider Business Practice Location Address Details
Address
800 E 20Th St
City
State
Zip
82001-3859
Phone Number
307-634-7711
Fax Number
person
Provider Business Mailing Address Details
Address
800 E 20Th St
City
State
Zip
82001-3859
Phone Number
307-634-7711
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
4219A (Wyoming)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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