Individual
BRYCE SAMUEL L KELLAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3263 PROFFIT RD, SUITE 201, CHARLOTTESVILLE, VA 22911-5639
(434) 654-4600
(434) 975-1384
Mailing address
PO BOX 79777, BALTIMORE, MD 21279-0777
(434) 654-7794
(434) 975-1384
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101057310
VA
Other
Enumeration date
06/01/2006
Last updated
03/13/2018
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