Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GLENN RICHARD KELLY, DC
Active Sole ProprietorRehabilitation (Chiropractor) · STEPHENSON, VA
Registration Details
- NPI Number
- 1245377282
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 31, 2007 (19.22121533721 yrs)
- Last Updated
- Mar 2, 2022
- Licenses
-
010455985 (VA)010455985 (VA)010455985 (VA)010455985 (VA)010455985 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
100 ROTUNDA DRSTEPHENSON, VA, 226561966Browse VA providers · Browse ZIP 22656
- Phone
- 7036277553
- Primary Specialty
-
Rehabilitation (Chiropractor)
111NR0400X
- Additional Specialty
- Radiology (Chiropractor)
- Additional Specialty
- Sports Physician (Chiropractor)
- Additional Specialty
- Occupational Health (Chiropractor)
- Additional Specialty
- Orthopedic (Chiropractor)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.