Glenn Richard Kelly in Stephenson - Neurology
Glenn Richard Kelly - NPI 1245377282
Glenn Richard Kelly is a Neurology in Stephenson, Virginia. Glenn Richard Kelly practices all healthcare services and medical treatments related to Neurology. The NPI Number for Glenn Richard Kelly is 1245377282. The last update date is 2022-03-02.
Glenn Richard Kelly's current location address is 100 Rotunda Dr, Stephenson, Virginia. You can contact this provider via phone number 7036277553. The mailing address for Glenn Richard Kelly is 100 Rotunda Dr, Stephenson, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glenn Richard Kelly |
|---|---|
| Address | 100 Rotunda Dr, Stephenson, Virginia |
| Phone Number | 7036277553 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1245377282 |
|---|---|
| Provider Enumeration Date | 2007-01-31 |
| Last Updated Date | 2022-03-02 |
Provider Mailing Address Detail
| Address | 100 Rotunda Dr |
|---|---|
| City | Stephenson |
| State | Virginia (VA) |
| Post Code | 226561966 |
| Phone Number | 7036277553 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Neurology |
|---|---|
| Taxonomy | 111Nn0400X |
| Licence No | 10455985 |
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Definition: Chiropractic Neurology is defined as the field of functional neurology that engages the internal - and external environment of the individual in a structured and targeted approach to affect positive changes in the nervous system and consequently the |
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What is the unique 10-digit identifier code issued to Glenn Richard Kelly by the Centers for Medicare & Medicaid Services?
The Glenn Richard Kelly has been assigned the NPI (National Provider Identifier) 1245377282 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Glenn Richard Kelly?
The Glenn Richard Kelly is situated at 100 Rotunda Dr, in the city of Stephenson, state of VA, with the zip code 226561966.
What is the Glenn Richard Kelly's area of specialization and corresponding taxonomy classification?
The Glenn Richard Kelly's specialty field is Neurology, and it falls under the taxonomy code 111Nn0400X, which categorizes healthcare providers based on their specialties.
On what date did the Glenn Richard Kelly receive its 1245377282 assignment from the Centers for Medicare & Medicaid Services?
The Glenn Richard Kelly was assigned its 1245377282 by the Centers for Medicare & Medicaid Services on 2007-01-31.
As of what date was the information regarding Glenn Richard Kelly, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Glenn Richard Kelly, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-03-02.
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