Smith, Kellen Matthew

Smith, Kellen Matthew is an sole proprietor health care provider with primary practice located at 620 John Paul Jones Cir , Portsmouth VA 23708-2197. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Smith, Kellen Matthew can be contacted via phone (757) 953-7021.

Contact Information

Primary practice address
620 John Paul Jones Cir Portsmouth VA 23708-2197
Phone: (757) 953-7021
Fax: (757) 953-7560
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2305206466 Virginia

Profile Details

NPI number 1730432261
LBN Legal business name Smith, Kellen Matthew
Credentials DPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 22nd, 2012
Last updated Oct 22nd, 2012 - about 14 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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