KELLEMS GERIATRIC HEALTHCARE NPI 1699245936

NPI Information

  • NPI: 1699245936
  • Provider Name: KELLEMS GERIATRIC HEALTHCARE
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Address: 8715 BRAYS FORK DR
    GLEN ALLEN, VA
    ZIP 23060
  • Phone: (804) 432-4113

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NPI Details

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
1363LF0000XNurse PractitionerFamilyYes

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: 11/21/2025

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