Provider Demographics
NPI:1922830611
Name:KELLAMS, HANNAH LYNN
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:LYNN
Last Name:KELLAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 SADDLEBROOK CT
Mailing Address - Street 2:
Mailing Address - City:DELAWARE
Mailing Address - State:OH
Mailing Address - Zip Code:43015-3472
Mailing Address - Country:US
Mailing Address - Phone:614-208-4168
Mailing Address - Fax:
Practice Address - Street 1:3965 RIVERVIEW DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43221-4911
Practice Address - Country:US
Practice Address - Phone:216-533-1777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-20
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty