Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Michael J Kellum, MD

Individual provider Emergency Medicine Physician · NPI 1164599387

Dr. Michael J Kellum, MD is an Emergency Medicine Physician in Whitewater, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

W9575 Homburg Ln
Whitewater, WI 53190
Phone: (262) 473-0961
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 36138-020 (WI)
Emergency Medical Services (Emergency Medicine) Physician Taxonomy 207PE0004X · Licence 36138-020 (WI)

Record details

NPI number1164599387
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 30, 2006
Last updated in NPPESJuly 24, 2015
Mailing addressW9675 Homburg Ln, Whitewater, WI 53190-3702

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