KELLEN JAMES GLYNN MD
NPI 1598359713
Military Health Care Provider in Portsmouth, VA
About Kellen James Glynn Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLEN JAMES GLYNN MD (NPI 1598359713) is an individual military health care provider provider in Portsmouth, Virginia, licensed in Virginia (0101276029) and active in the NPI registry since February 2021. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kellen James Glynn Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORTSMOUTH, VA 23708
PORTSMOUTH, VA 23708
PORTSMOUTH, VA 23708
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 Kellen Glynn's NPI number?
The NPI number for Kellen Glynn is 1598359713. It was assigned to this individual provider in the NPPES registry on February 28, 2021.
Where is Kellen Glynn located?
Kellen Glynn practices at 620 John Paul Jones Cir, Portsmouth, VA 23708. The listed phone number is (757) 953-2277.
What is Kellen Glynn's specialty?
The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.
Is Kellen Glynn enrolled in Medicare?
Yes. Kellen Glynn is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kellen Glynn was last updated on March 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.
# Kellen James Glynn, MD · NPI 1598359713
Military Health Care Provider provider in Portsmouth, Virginia. Individual provider, active in the CMS NPPES registry since February 28, 2021.
## Identity
- **NPI:** 1598359713 (Entity type: Individual)
- **Enumerated:** February 28, 2021
- **Primary specialty:** Military Health Care Provider · taxonomy 171000000X
- **State license:** 0101276029 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 620 JOHN PAUL JONES CIR, Portsmouth, VA 23708-2111
- **Phone:** (757) 953-2277
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 2, 2026
- **Other identifiers:** Other S069-130-009-815 (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1598359713) · Data from the CMS NPPES public registry.