Organization · Type 2 NPI
Kellems Geriatric Healthcare
Family Nurse Practitioner · Glen Allen, VA
NPI number
1699245936
Active
Practice location
8715 Brays Fork Dr
Glen Allen, VA 23060-3693
Mailing address
13700 N Gayton Rd
Richmond, VA 23233-7017
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
About NPI 1699245936
Kellems Geriatric Healthcare's National Provider Identifier is 1699245936, issued on Nov 29, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Glen Allen, VA. The record was last updated on Jul 16, 2020.