Individual
BRIAN D. KELLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4808 COURTHOUSE ST STE 202, WILLIAMSBURG, VA 23188-2684
(757) 345-6562
Mailing address
306 CRESCENT CT, YORKTOWN, VA 23693-4584
(757) 719-7892
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
00190117206
VA
Other
Enumeration date
10/08/2025
Last updated
10/08/2025
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