Sellergren, Kim R

Sellergren, Kim R is an individual health care provider with primary practice located at 1250 E Marshall Street Orthopaedic Surgery, Richmond VA 23298-0510. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Sellergren, Kim R can be contacted via phone (804) 828-7069.

Contact Information

Primary practice address
1250 E Marshall Street Orthopaedic Surgery Richmond VA 23298-0510
Phone: (804) 828-7069
Fax: (804) 828-7199
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 0101038013 Virginia

Profile Details

NPI number 1104897065
LBN Legal business name Sellergren, Kim R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Dec 22nd, 2009 - about 15 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 1104897065 NPPES
Virginia Other 0101038013 LICENSE
Virginia Other 427693 LICENSE
Virginia Other 0593050001 LICENSE
Virginia Other 4063751 LICENSE
Virginia Other 2427354 LICENSE
Virginia Other CA9037 LICENSE
Virginia MEDICAID 006400957 LICENSE
Virginia Other 140405 LICENSE
Virginia Other C02375 LICENSE

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