Kelley, Jason

Kelley, Jason is an individual health care provider with primary practice located at 6049 Harbour Park Dr , Midlothian VA 23112-2160. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Kelley, Jason can be contacted via phone (804) 639-2359.

Contact Information

Primary practice address
6049 Harbour Park Dr Midlothian VA 23112-2160
Phone: (804) 639-2359
Fax: (804) 639-2029
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 26834 Maryland
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2305202092 Virginia

Profile Details

NPI number 1982668232
LBN Legal business name Kelley, Jason
Credentials PT, DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Feb 12th, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1982668232 NPPES
Virginia Other C05954 GROUP MEDICARE PTAN

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