Individual provider · Type 1 NPI

Taylor Kellam

Physician Assistant · Green Bay, WI

NPI number 1740965326 Active

Practice location

835 S Van Buren St
Green Bay, WI 54301-3526

Call (920) 433-0111 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X8441-23 (WI)
Emergency Medicine Physician 207P00000X8441-23 (WI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1740965326

Taylor Kellam's National Provider Identifier is 1740965326, issued on Jun 20, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Green Bay, WI. The record was last updated on Feb 10, 2026.