Pratt, Laura Kellam

Pratt, Laura Kellam is an individual health care provider with primary practice located at 280 Charles Dimmock Pkwy Suite 4, Colonial Heights VA 23834-2940. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Pratt, Laura Kellam can be contacted via phone (804) 526-7364.

Contact Information

Primary practice address
280 Charles Dimmock Pkwy Suite 4 Colonial Heights VA 23834-2940
Phone: (804) 526-7364
Fax: (804) 526-7394
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 0101231692 Virginia

Profile Details

NPI number 1548260912
LBN Legal business name Pratt, Laura Kellam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Jul 31st, 2014 - about 12 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 1548260912 NPPES
Other P00047267 RAILROAD MEDICARE
Other 7442479 RAILROAD MEDICARE
MEDICAID 010008280 RAILROAD MEDICARE
Other 0300585 RAILROAD MEDICARE
Other 230056 RAILROAD MEDICARE
Other 465745 RAILROAD MEDICARE

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