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

Lisa Kelllum, RNBSNPHN

Individual provider Case Management Registered Nurse · NPI 1629107586

Lisa Kelllum, RNBSNPHN is a Case Management Registered Nurse in San Diego, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007

Practice location Address checks out

2440 Grand Ave
San Diego, CA 92109-4858
Phone: (858) 490-4426
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Management Registered Nurse (primary) Taxonomy 163WC0400X · Licence RN469227 (CA)

Record details

NPI number1629107586
Entity typeIndividual (Type 1)
GenderFemale
Credentials RNBSNPHN
Sole proprietorNo
NPI enumeratedMarch 5, 2007
Last updated in NPPESJuly 8, 2007

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