Kellams, Ann Lenox
Kellams, Ann Lenox is an individual health care provider with primary practice located at 1204 W Main St , Charlottesville VA 22903-2824. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Kellams, Ann Lenox can be contacted via phone (434) 924-0123.Contact Information
Primary practice address
1204 W Main St
Charlottesville VA 22903-2824
Phone: (434) 924-0123
Fax: (434) 243-3300
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 0101057357 | Virginia |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 0101057357 | Virginia |
Profile Details
| NPI number | 1811980287 |
|---|---|
| LBN Legal business name | Kellams, Ann Lenox |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2005 |
| Last updated | Aug 10th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811980287 | NPPES |
| Virginia | Other | 59959 | SENTARA |
| Virginia | Other | 6736700 | SENTARA |
| Virginia | Other | 200256 | SENTARA |
| Virginia | MEDICAID | 6736700 | SENTARA |
| Virginia | Other | 3119831 | SENTARA |
| Virginia | Other | 385714 | SENTARA |
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