Hertz, Kellen

Hertz, Kellen is an individual health care provider with primary practice located at 10301 New Guinea Rd , Fairfax VA 22032-3268. He recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as his primary health care specialty. Hertz, Kellen can be contacted via phone (703) 764-5112.

Contact Information

Primary practice address
10301 New Guinea Rd Fairfax VA 22032-3268
Phone: (703) 764-5112
Fax: (703) 828-1728
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacy Technician 183700000X 0230009885 Virginia

Profile Details

NPI number 1043600869
LBN Legal business name Hertz, Kellen
Credentials CPHT
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2015
Last updated Feb 5th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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