Dr Glenn Richard Kelly, DC is a
Chiropractor - Rehabilitation based in Stephenson, Virginia. Dr Glenn Richard Kelly is licensed to practice in Virginia (license number 010455985) and his current practice location is
100 Rotunda Dr, Stephenson, Virginia. He can be reached at his office (for appointments etc.) via phone at
(703) 627-7553.
NPI number for Dr Glenn Richard Kelly is 1245377282 and his current mailing address is 100 Rotunda Dr, Stephenson, Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1245377282.
Healthcare Provider's Profile
| Full Name | Dr Glenn Richard Kelly |
|---|
| Gender | Male |
|---|
| Speciality | Chiropractor - Rehabilitation |
|---|
| Location | 100 Rotunda Dr, Stephenson, Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1245377282
- Provider Enumeration Date: 01/31/2007
- Last Update Date: 03/02/2022
Medical Identifiers
Medical identifiers for Dr Glenn Richard Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245377282 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111NN0400X | Chiropractor - Neurology | 010455985 (Virginia) | Secondary |
| 111NR0200X | Chiropractor - Radiology | 010455985 (Virginia) | Secondary |
| 111NS0005X | Chiropractor - Sports Physician | 010455985 (Virginia) | Secondary |
| 111NX0100X | Chiropractor - Occupational Health | 010455985 (Virginia) | Secondary |
| 111NX0800X | Chiropractor - Orthopedic | 010455985 (Virginia) | Secondary |
| 111NR0400X | Chiropractor - Rehabilitation | 010455985 (Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Glenn Richard Kelly is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Glenn Richard Kelly, DC
100 Rotunda Dr,
Stephenson, VA 22656-1966
Ph: (703) 627-7553 | Dr Glenn Richard Kelly, DC
100 Rotunda Dr,
Stephenson, VA 22656-1966
Ph: (703) 627-7553 |
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