ANTHONY KELLAM JR.
NPI 1851052005
Prevention Professional in Norfolk, VA

Q: What is Anthony Kellam's NPI number?

The NPI number for Anthony Kellam is 1851052005. It was assigned to this individual provider in the NPPES registry on January 9, 2022.

Q: What is Anthony Kellam's specialty?

The primary specialty registered for this NPI is Prevention Professional with taxonomy code 405300000X.

Q: When was this NPI record last updated?

The NPPES record for Anthony Kellam was last updated on January 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since January 09, 2022

407 W LITTLE CREEK RD, NORFOLK, VA 23505(757) 377-6754 Get Directions Write a Review

NPPES record last updated: January 9, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Anthony Kellam Jr. NPPES

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

ANTHONY KELLAM JR. (NPI 1851052005) is an individual prevention professional provider in Norfolk, Virginia, licensed in Virginia (A60616220) and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1851052005

Entity TypeIndividualMale

Primary Taxonomy405300000X

Provider Legal NameANTHONY KELLAM JR.

Location Address407 W LITTLE CREEK RDNorfolk, VA 23505-2301

Mailing Address407 W Little Creek RdNorfolk, VA 23505-2301 · (757) 377-6754

Phone(757) 377-6754

Sole ProprietorYes

Enumeration DateJanuary 9, 2022

NPPES CertifiedJanuary 9, 2022

✔ NPI 1851052005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPrevention ProfessionalOther Service Providers

Taxonomy Code405300000X

License✔ Licensed in VA · A60616220

Definition

Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work.

407 W LITTLE CREEK RD, Norfolk, VA 23505

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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 Anthony Kellam's NPI number?

The NPI number for Anthony Kellam is 1851052005. It was assigned to this individual provider in the NPPES registry on January 9, 2022.

Where is Anthony Kellam located?

Anthony Kellam practices at 407 W Little Creek Rd, Norfolk, VA 23505. The listed phone number is (757) 377-6754.

What is Anthony Kellam's specialty?

The primary specialty registered for this NPI is Prevention Professional with taxonomy code 405300000X.

When was this NPI record last updated?

The NPPES record for Anthony Kellam was last updated on January 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.