Dr. Glenn Richard Kelly
Neurology Radiology Occupational Health Rehabilitation Chiropractor and 2 more
44122 Mistletoe Ter
Ashburn
, Virginia 20147-2818
Dr. Glenn Richard Kelly
Neurology Radiology Occupational Health Rehabilitation Chiropractor and 2 more
44122 Mistletoe Ter
Ashburn
, Virginia 20147-2818
(703) 627-7553
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About
Features
Specialties
- Neurology
- Radiology
- Rehabilitation Chiropractor
- Chiropractic Sports Physician
- Occupational Health
- Chiropractor Orthopedic Specialist
Languages spoken
- English
Location
First Address
- Dr. Glenn Richard Kelly
- 44122 Mistletoe Ter
- Ashburn, VA
- Zip : 20147-2818
- Phone : (703) 627-7553
Second Address
- Dr. Glenn Richard Kelly
- 44122 Mistletoe Ter
- Ashburn, VA
- Zip : 20147-2818
- Phone : (703) 627-7553
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 111NN0400X | Neurology | 010455985 | VA |
| N | 111NR0200X | Radiology | 010455985 | VA |
| N | 213ER0200X | Radiology | 010455985 | VA |
| Y | 111NR0400X | Rehabilitation Chiropractor | 010455985 | VA |
| N | 111NS0005X | Chiropractic Sports Physician | 010455985 | VA |
| N | 111NX0100X | Occupational Health | 010455985 | VA |
| N | 111NX0800X | Chiropractor Orthopedic Specialist | 010455985 | VA |
National Provider Identifier
| NPI | 1245377282 |
|---|---|
| Provider Name | Dr. Glenn Richard Kelly |
| First Address | Ashburn, VA 20147-2818 |
| Second Address | Ashburn, VA 20147-2818 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/01/2007 |
| Last Update Date | 11/12/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.