Kellems, Jeremy Glen

Kellems, Jeremy Glen is an individual health care provider with primary practice located at 3600 Mountain Rd , Glen Allen VA 23060-1930. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Kellems, Jeremy Glen can be contacted via phone (804) 672-8725.

Contact Information

Primary practice address
3600 Mountain Rd Glen Allen VA 23060-1930
Phone: (804) 672-8725
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 0001209239 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0017141048 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024170856 Virginia

Profile Details

NPI number 1558709584
LBN Legal business name Kellems, Jeremy Glen
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2013
Last updated Jul 16th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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