Individual provider · Type 1 NPI

Somerlin Chase Kellum

Student in an Organized Health Care Education/Training Program · Athens, GA

NPI number 1396695029 Active

Practice location

1140 Crooked Creek Rd
Athens, GA 30607-3617

Call (706) 540-6736 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XDN124331 (GA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1396695029

Somerlin Chase Kellum's National Provider Identifier is 1396695029, issued on Feb 2, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Athens, GA. The record was last updated on Aug 11, 2026.