Kelly, Glenn Richard

Kelly, Glenn Richard is an sole proprietor health care provider with primary practice located at 100 Rotunda Dr , Stephenson VA 22656-1966. He recently has 6 registered licenses in different health care specialties including Chiropractic Providers / Neurology, Chiropractic Providers / Radiology, Chiropractic Providers / Sports Physician, Chiropractic Providers / Occupational Health, Chiropractic Providers / Orthopedic, Chiropractic Providers / Rehabilitation. Chiropractic Providers / Rehabilitation is his primary health care specialty. Kelly, Glenn Richard can be contacted via phone (703) 627-7553.

Contact Information

Primary practice address
100 Rotunda Dr Stephenson VA 22656-1966
Phone: (703) 627-7553
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Neurology 111NN0400X 010455985 Virginia
Chiropractic Providers / Radiology 111NR0200X 010455985 Virginia
Chiropractic Providers / Sports Physician 111NS0005X 010455985 Virginia
Chiropractic Providers / Occupational Health 111NX0100X 010455985 Virginia
Chiropractic Providers / Orthopedic 111NX0800X 010455985 Virginia
Chiropractic Providers / Rehabilitation 111NR0400X 010455985 Virginia

Profile Details

NPI number 1245377282
LBN Legal business name Kelly, Glenn Richard
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 31st, 2007
Last updated Mar 2nd, 2022 - about 3 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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