Individual provider · Type 1 NPI

Kellen James Squire

Student in an Organized Health Care Education/Training Program · Charlottesville, VA

NPI number 1487563458 Active

Practice location

225 Jeanette Lancaster Way
Charlottesville, VA 22903-3387

Call (434) 297-6600 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1487563458

Kellen James Squire's National Provider Identifier is 1487563458, issued on Sep 3, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Charlottesville, VA. The record was last updated on Sep 3, 2026.