Individual
KENNETH JASON KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
300B TEMPLE LAKE DR STE 1, COLONIAL HEIGHTS, VA 23834-2973
(804) 524-9036
(804) 524-9039
Mailing address
350 NEW FIDELITY CT, GARNER, NC 27529-2665
(919) 258-2714
(410) 648-4878
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305206555
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821301961
—
VA
01
—
192946
BCBS (PHYSICAL THERAPY)
VA
01
—
9631527
AETNA
VA
Enumeration date
07/19/2010
Last updated
05/27/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us