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

Individual provider Pediatrics Physician · NPI 1669881397

Sandra Kellum, MD is a Pediatrics Physician in Newport Beach, California. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2014
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

1401 Avocado Ave Ste 802
Newport Beach, CA 92660-7784
Phone: (949) 644-0970
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Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 25MA10083400 (NJ)

Record details

NPI number1669881397
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 6, 2014
Last updated in NPPESNovember 13, 2024
Certification dateNovember 8, 2024
Mailing address1401 Avocado Ave Ste 802, Newport Beach, CA 92660-7784

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