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DR. MICHAEL J KELLUM MD
NPI 1164599387
Emergency Medicine in Whitewater, WI

Active since November 30, 2006
W9575 HOMBURG LANE, WHITEWATER, WI 53190(262) 473-0961 Get Directions Write a Review

NPPES record last updated: July 24, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Michael J Kellum Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHAEL J KELLUM MD (NPI 1164599387) is an individual emergency medicine provider in Whitewater, Wisconsin, licensed in Wisconsin (36138-020) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1164599387
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. MICHAEL J KELLUMCredential: MD
Location AddressW9575 HOMBURG LANEWhitewater, WI 53190
Mailing AddressW9675 Homburg LnWhitewater, WI 53190-3702 · (262) 473-0961
Phone(262) 473-0961
Sole ProprietorNo
Enumeration DateNovember 30, 2006
Last NPPES UpdateJuly 24, 2015
✔ NPI 1164599387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in WI · 36138-020
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedEmergency Medicine · Emergency Medical ServicesTaxonomy 207PE0004X · License 36138-020 (WI)
W9575 HOMBURG LANE, Whitewater, WI 53190
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Kellum's NPI number?

The NPI number for Michael Kellum is 1164599387. It was assigned to this individual provider in the NPPES registry on November 30, 2006.

Where is Michael Kellum located?

Michael Kellum practices at W9575 Homburg Lane, Whitewater, WI 53190. The listed phone number is (262) 473-0961.

What is Michael Kellum's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Michael Kellum was last updated on July 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.