Kellett, Gordon Neil

Kellett, Gordon Neil is an individual health care provider with primary practice located at 13821 Village Mill Dr , Midlothian VA 23114-4365. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Kellett, Gordon Neil can be contacted via phone (804) 794-2821.

Contact Information

Primary practice address
13821 Village Mill Dr Midlothian VA 23114-4365
Phone: (804) 794-2821
Fax: (804) 794-4072
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101025852 Virginia

Profile Details

NPI number 1114933298
LBN Legal business name Kellett, Gordon Neil
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Jan 12th, 2009 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114933298 NPPES
Virginia Other 1200296 UNITED HEALTH CARE
Virginia Other 11360 UNITED HEALTH CARE
Virginia Other 128503 UNITED HEALTH CARE
Virginia Other 217017 UNITED HEALTH CARE
Virginia Other 21688 UNITED HEALTH CARE
Virginia MEDICAID 006703941 UNITED HEALTH CARE

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