Thomas Clark Kellam Valid NPI
Individual provider · Sports Medicine (Family Medicine) Physician · Winston Salem, NC
- NPI
- 1043745375
- Type
- Individual (Type 1)
- Primary specialty
- Sports Medicine (Family Medicine) Physician (Family Medicine)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207QS0010X
- License number
- 2025-02829 (NC)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2017-04-24
- Last updated
- 2025-08-22
Practice location
200 Robinhood Medical Plz
Winston Salem, NC 27106-5471
(336) 718-7950