Emily Kellum, is a
Nurse Practitioner - Psychiatric/mental Health based in Myakka City, Florida. Emily Kellum is licensed to practice in Florida (license number APRN11043512) and her current practice location is
3710 Logue Rd, Myakka City, Florida. She can be reached at her office (for appointments etc.) via phone at
(513) 658-1258.
NPI number for Emily Kellum is 1275403974 and her current mailing address is 3710 Logue Rd, Myakka City, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1275403974.
Provider's Profile
| Full Name | Emily Kellum |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 3710 Logue Rd, Myakka City, Florida |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1275403974
- Provider Enumeration Date: 11/07/2025
- Last Update Date: 11/07/2025
Medical Identifiers
Medical identifiers for Emily Kellum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1275403974 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN11043512 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Emily Kellum is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Emily Kellum, 3710 Logue Rd, Myakka City, FL 34251-9731 Ph: () - | Emily Kellum, 3710 Logue Rd, Myakka City, FL 34251-9731 Ph: (513) 658-1258 |
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