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Individual

DR. ANN LENOX KELLAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1204 W MAIN ST, CHARLOTTESVILLE, VA 22903-2824
(434) 924-0123
(434) 243-3300
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101057357
VA
2080A0000X
Pediatric Adolescent Medicine Physician
0101057357
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
200256
SOUTHERN HEALTH
VA
01
3119831
MAMSI
VA
01
385714
ANTHEM
VA
01
59959
SENTARA
VA
01
6736700
VIRGINIA PREMIER
VI
05
6736700
VA
Enumeration date
08/31/2005
Last updated
08/10/2023
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