MRS. ROSEMARY TILMON-KELLUM


Address: 1250 Bellflower Blvd., Student Health Center, Long Beach, CA 90840
Phone: 5629854771

MRS. ROSEMARY TILMON-KELLUM (NPI# 1710047220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710047220
Entity Type Individual
Full Name MRS. ROSEMARY TILMON-KELLUM
Other Name MRS. ROSEMARY KELLUM
Credential PA-C
Practice Address 1250 Bellflower Blvd.
Student Health Center
Long Beach
CA 90840
Mailing Address 1250 Bellflower Blvd
Student Health Center
Long Beach
CA 90840
Practice Telephone 5629854771
Practice Fax Number 5629851644
Mailing Telephone 5629854771
Mailing Fax Number 5629851644
Enumeration Date 2006-12-12
Last Update Date 2018-12-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
13327 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1250 BELLFLOWER BLVD.
STUDENT HEALTH CENTER
City LONG BEACH
State CA
Zip Code 90840

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881972719 Kathleen Elizabeth Hollwig Marriage & Family Therapist 101 Mail Street, Suite F, Seal Beach, CA 90840 2011-07-26
1538377056 James Edward Koval Marriage & Family Therapist Family and Consumer Sciences, Csulb, Long Beach, CA 90840 2007-05-18
1558993147 Steven Ryan Tran Physical Therapist 1250 Bellflower Blvd, Kin-105, Long Beach, CA 90840 2020-02-11
1790286482 Justin Caovan Student in an Organized Health Care Education/Training Program 1250 Bellflower Blvd, Long Beach, CA 90840 2018-02-27
1295235927 Ysabel Ehryn Meris Specialist/Technologist 1250 N Bellflower Blvd, Long Beach, CA 90840 2018-02-19
1962608604 Joshua Stone Specialist/Technologist 1250 N Bellflower Blvd, Attention Athletic Training, Long Beach, CA 90840 2007-06-21
1174006787 Ryan Gray Physical Therapist 1250 Bellflower Blvd Kinesiology Building Rm 105, Long Beach, CA 90840-0001 2018-09-10
1457855421 Gayle Early Nurse Practitioner 1250 Bellflower Blvd School of Nursing, Long Beach, CA 90840-0001 2018-03-22
1194293472 Dmitry Foox Physical Therapist 1250 N Bellflower Blvd # Et130, Long Beach, CA 90840-0004 2018-11-05
1639190606 State of California Pharmacy 1250 N Bellflower Blvd, Long Beach, CA 90840-0004 2006-07-22
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508261256 Trisha Luu Physician Assistant 3300 E. South Street, Suite 308, Long Beach, CA 90805 2014-10-23
1316284151 Joan Eastlack Physician Assistant 432 Panama Ave, Long Beach, CA 90814-1909 2013-01-14
1205125267 Renae C Bright Physician Assistant 461 E Broadway, Long Beach #4, Long Beach, NY 11561-4437 2011-03-30
1881903680 Monte Carl Burnam Physician Assistant Professional Corporation Physician Assistant 1145 E Amelia Dr, Long Beach, CA 90807-2403 2010-09-28
1912233438 Wesley Charles Adams Physician Assistant 3559 E South St, Long Beach, CA 90805-4519 2009-10-19
1396920864 Mohammad A Shadjari Physician Assistant 1635 E Ocean Blvd, Apt. F3, Long Beach, CA 90802-6001 2008-01-03
1760542930 Paul Scott Margraf Physician Assistant 2880 Atlantic Ave Ste 230, Long Beach, CA 90806-1735 2006-12-11
1669404380 Bonnie Michelle Moreno Harris Physician Assistant 2495 Pine Ave, Long Beach, CA 90806-3029 2006-07-06
1952850364 Kaitlyn Vu Physician Assistant 2690 Pacific Ave Ste 290, Long Beach, CA 90806-2631 2016-09-26
1124473178 Jason Ryan Lomheim Physician Assistant 2801 Atlantic Ave, Long Beach, CA 90806-1701 2016-04-27
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Competitor

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City LONG BEACH
Zip Code 90840

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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