KELLEMS GERIATRIC HEALTHCARE NPI 1699245936

NPI Information

NPI: 1699245936
Provider Name: KELLEMS GERIATRIC HEALTHCARE
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
8715 BRAYS FORK DR
GLEN ALLEN, VA
ZIP 23060
Phone: (804) 432-4113
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KELLEMS GERIATRIC HEALTHCARE is a family nurse practitioner in Glen Allen, VA. KELLEMS GERIATRIC HEALTHCARE NPI is 1699245936. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8715 BRAYS FORK DR
GLEN ALLEN, VA
ZIP 23060-693
Phone: (804) 432-4113

The provider's authorized official is Jeremy Glen Kellems .
The authorized official title is President and has the following contact phone number (804) 432-4113.

The enumeration date for this NPI number is 11/29/2018 and was last updated on 7/16/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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