Organization
KELLEMS GERIATRIC HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEREMY GLEN KELLEMS MSN,NP-C (PRESIDENT)
(804) 432-4113
Entity
Organization
Contact information
Practice address
8715 BRAYS FORK DR, GLEN ALLEN, VA 23060-3693
(804) 432-4113
Mailing address
13700 N GAYTON RD, RICHMOND, VA 23233-7017
(804) 432-4113
(804) 213-9783
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/29/2018
Last updated
07/16/2020
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