Provider Demographics
NPI:1659567824
Name:EXUM, KELVIN DEMONT (MD)
Entity Type:Individual
Prefix:DR
First Name:KELVIN
Middle Name:DEMONT
Last Name:EXUM
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7808 CLODUS FIELDS DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75251-2206
Mailing Address - Country:US
Mailing Address - Phone:972-770-1032
Mailing Address - Fax:469-484-1785
Practice Address - Street 1:7808 CLODUS FIELDS DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75251-2206
Practice Address - Country:US
Practice Address - Phone:972-770-1032
Practice Address - Fax:469-484-1785
Is Sole Proprietor?:No
Enumeration Date:2007-09-20
Last Update Date:2014-12-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC2007015562084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry