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

Individual provider Geriatric Physical Therapist · NPI 1669699104

Mr. Brian Kellum, MSPT is a Geriatric Physical Therapist in Indianapolis, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2007
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Practice location Address checks out

6306 Silver Moon Ct
Indianapolis, IN 46259-8749
Phone: (317) 862-6717
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Physical Therapist (primary) Taxonomy 2251G0304X · Licence 05006047A (IN)

Record details

NPI number1669699104
Entity typeIndividual (Type 1)
GenderMale
Credentials MSPT
Sole proprietorYes
NPI enumeratedApril 19, 2007
Last updated in NPPESJuly 8, 2007

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