MADELINE SPARKS KELLAM MD
NPI 1962152397
Student in an Organized Health Care Education/Training Program in Dallas, TX
About Madeline Sparks Kellam Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MADELINE SPARKS KELLAM MD (NPI 1962152397) is an individual student in an organized health care education/training program in Dallas, Texas and active in the NPI registry since March 2022.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DALLAS, TX 75235
DALLAS, TX 75235
DALLAS, TX 75235
DALLAS, TX 75235
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 Madeline Kellam's NPI number?
The NPI number for Madeline Kellam is 1962152397. It was assigned to this individual provider in the NPPES registry on March 28, 2022.
Where is Madeline Kellam located?
Madeline Kellam practices at 1935 Medical District Dr, Dallas, TX 75235. The listed phone number is (214) 456-5518.
What is Madeline Kellam's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
When was this NPI record last updated?
The NPPES record for Madeline Kellam was last updated on December 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.
# Madeline Sparks Kellam, MD · NPI 1962152397
Student in an Organized Health Care Education/Training Program provider in Dallas, Texas. Individual provider, active in the CMS NPPES registry since March 28, 2022.
## Identity
- **NPI:** 1962152397 (Entity type: Individual)
- **Enumerated:** March 28, 2022
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1935 MEDICAL DISTRICT DR, Dallas, TX 75235-7701
- **Phone:** (214) 456-5518
## Record status
- **NPPES last updated:** December 18, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1962152397) · Data from the CMS NPPES public registry.