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Contact Information

ANTHONY KELLAM JR
407 W LITTLE CREEK RD
NORFOLK, VA23505-2301
 Phone: 757-377-6754
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prevention Professional

405300000X
Indicates primary specialty

NPI Profile & details for ANTHONY KELLAM JR · (Male)

NPI # 1851052005
Status Active
Credentials
Entity Individual
Enumeration date 01/09/2022
Last updated 01/09/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • VA License # A60616220
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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