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KELLEMS GERIATRIC HEALTHCARE
NPI 1699245936
Nurse Practitioner - Family in Glen Allen, VA

Active since November 29, 2018
8715 BRAYS FORK DR, GLEN ALLEN, VA 23060(804) 432-4113 Get Directions Write a Review

NPPES record last updated: July 16, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 16, 2020, May 3, 2019, Nov 29, 2018 (3 updates tracked since 2018).

About Kellems Geriatric Healthcare NPPES

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

KELLEMS GERIATRIC HEALTHCARE (NPI 1699245936) is a healthcare organization registered as a family in Glen Allen, Virginia and active in the NPI registry since November 2018. The organization lists Jeremy Glen Kellems, President, as its authorized official.

NPPES Registry Identity

NPI1699245936
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameKELLEMS GERIATRIC HEALTHCARE
Location Address8715 BRAYS FORK DRGlen Allen, VA 23060-3693
Mailing Address13700 N Gayton RdRichmond, VA 23233-7017 · (804) 432-4113 · Fax (804) 213-9783
Phone(804) 432-4113
Organization SubpartNo
Authorized OfficialJeremy Glen KellemsPresident · (804) 432-4113
Enumeration DateNovember 29, 2018
Last NPPES UpdateJuly 16, 20203 updates tracked since enumeration
NPPES CertifiedJuly 16, 2020
✔ NPI 1699245936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
8715 BRAYS FORK DR, Glen Allen, VA 23060
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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

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 Kellems Geriatric Healthcare's NPI number?

The NPI number for Kellems Geriatric Healthcare is 1699245936. It was assigned to this organization in the NPPES registry on November 29, 2018.

Where is Kellems Geriatric Healthcare located?

Kellems Geriatric Healthcare is located at 8715 Brays Fork Dr, Glen Allen, VA 23060. The listed phone number is (804) 432-4113.

What is Kellems Geriatric Healthcare's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Kellems Geriatric Healthcare was last updated on July 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.