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KENJACK MEDICAL LLC
NPI 1528423555
Family Medicine in Norfolk, VA

Active since December 17, 2015
951 W 21ST ST, NORFOLK, VA 23517(757) 274-4452(757) 531-7723 Get Directions Write a Review

NPPES record last updated: May 1, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kenjack Medical Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENJACK MEDICAL LLC (NPI 1528423555) is a healthcare organization registered as a family medicine in Norfolk, Virginia and active in the NPI registry since December 2015. The organization lists Garrett M Kelly, President, as its authorized official.

NPPES Registry Identity

NPI1528423555
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameKENJACK MEDICAL LLC
Location Address951 W 21ST STNorfolk, VA 23517-1534
Mailing Address951 W 21st StNorfolk, VA 23517-1534 · (757) 274-4452 · Fax (757) 531-7723
Phone(757) 274-4452
Fax(757) 531-7723
Organization SubpartNo
Authorized OfficialGarrett M KellyPresident · (757) 274-4452
Enumeration DateDecember 17, 2015
Last NPPES UpdateMay 1, 2017
✔ NPI 1528423555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in VA · 0102036923
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
951 W 21ST ST, Norfolk, VA 23517
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. MIMSEY A TAYLOR PT
Physical Therapist
951 W 21ST ST
NORFOLK, VA 23517
Norfolk City (757) 623-0867
DR. PAUL RICHARD TEMPLE II DC
Chiropractor
951 W 21ST ST
NORFOLK, VA 23517
Norfolk City (757) 623-0867
MR. LEE IRVIN BOEHM PT
Physical Therapist
951 W 21ST ST
NORFOLK, VA 23517
Norfolk City (757) 623-0867
MICHAEL ROY MCCONNELL D.C
Chiropractor
951 W 21ST ST
NORFOLK, VA 23517
Norfolk City (757) 623-0867

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenjack Medical LLC's NPI number?

The NPI number for Kenjack Medical LLC is 1528423555. It was assigned to this organization in the NPPES registry on December 17, 2015.

Where is Kenjack Medical LLC located?

Kenjack Medical LLC is located at 951 W 21st St, Norfolk, VA 23517. The listed phone number is (757) 274-4452.

What is Kenjack Medical LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Kenjack Medical LLC was last updated on May 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.