MARILYN S KELLAM


Address: 110 Kingsley Ln, Suite 302, Norfolk, VA 23505-4614
Phone: 7573452885

MARILYN S KELLAM (NPI# 1497740641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497740641
Entity Type Individual
Full Name MARILYN S KELLAM
Credential MD
Practice Address 110 Kingsley Ln
Suite 302
Norfolk
VA 23505-4614
Practice Telephone 7573452885
Mailing Telephone 7573452885
Enumeration Date 2005-09-14
Last Update Date 2016-09-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 0101036061 VA Allopathic & Osteopathic Physicians

Office Location

Street Address 110 KINGSLEY LN
SUITE 302
City NORFOLK
State VA
Zip Code 23505-4614

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467459347 Migdonia Montejo Specialist 110 Kingsley Ln, Suite 106, Norfolk, VA 23505-4614 2005-07-07
1841647120 Kristi Meibers Nurse Practitioner 110 Kingsley Ln, Ste 309, Norfolk, VA 23505-4614 2016-05-17
1093173528 Ebony Shanay Canady Social Worker 110 Kingsley Ln, Suite 210, Norfolk, VA 23505-4614 2016-01-28
1588036602 Hampton Roads Pediatric Dentistry and Orthodontics, Pllc Dentist 110 Kingsley Ln, Ste. 403, Norfolk, VA 23505-4614 2015-10-28
1073989240 Tidewater Speech and Language Services Speech-Language Pathologist 110 Kingsley Ln, Suite 209, Norfolk, VA 23505-4614 2015-08-11
1346632601 Lakeisha O'neal Social Worker 110 Kingsley Ln, Suite 210, Norfolk, VA 23505-4614 2015-02-24
1023423340 Laura Riddle Nurse Practitioner 110 Kingsley Ln, Suite 411, Norfolk, VA 23505-4614 2014-06-25
1255760997 Anne Chisman Abraham Social Worker 110 Kingsley Ln, Suite 401, Norfolk, VA 23505-4614 2013-11-04
1184961690 David T. Marshall, Dds, PC Dentist 110 Kingsley Ln, Suite 203, Norfolk, VA 23505-4614 2013-01-04
1003163171 Maryview Hospital Counselor 110 Kingsley Ln, Ste 206, Norfolk, VA 23505-4614 2012-08-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154844256 Cassandra Shelton Specialist/Technologist, Other 100 Kingsley Lane, Norfolk, VA 23505 2017-07-20
1063942852 Gabriela Marie Santiago Specialist/Technologist 7600 Victory Dr, Apt 3, Norfolk, VA 23505 2017-06-14
1144776725 Amr Hassan Pharmacist 1610 W Little Creek Rd, Apt 204, Norfolk, VA 23505 2016-09-01
1992175095 Heather Mitchell Nurse Practitioner 110 Kingsley Ln Ste 309, Norfolk, VA 23505 2015-10-01
1255710620 Jessica Ann Kestranek Dentist 7400 Granby St Ste D, Norfolk, VA 23505 2015-05-19
1710375274 Carla Toledo Nurse Practitioner 155 Kingsley Lane, Suite 400, Norfolk, VA 23505 2015-01-06
1417359746 James Austin Valone Jr. Ophthalmology 1423 Runymede Rd, Norfolk, VA 23505 2014-09-18
1861813370 Harris Teeter, LLC Pharmacy 7550 Granby Street, Norfolk, VA 23505 2013-12-31
1649549361 Linda Horsey Social Worker 7510 Granby Street, Suite 6, Norfolk, VA 23505 2011-12-27
1679705164 Carolyn Lee Kee Nurse's Aide 7403 Hampton Blvd, Norfolk, VA 23505 2009-08-17
Find all providers in zip 23505

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629549779 Cleanslate Medical Group of Virginia, LLC Internal Medicine 160 Kingsley Ln Ste 303, Norfolk, VA 23505-4600 2018-12-16
1548756372 Arfa Ahmad Internal Medicine 601 Pembroke Ave Apt 502, Norfolk, VA 23507-2050 2018-07-04
1124517966 Shawn Steven Sell Internal Medicine 600 Gresham Dr Fl 2, Norfolk, VA 23507-1904 2018-05-08
1760912968 Dipan Oza Internal Medicine 358 Mowbray Arch Ste 203205, Norfolk, VA 23507-2219 2017-06-20
1508395021 Graham Christian Ellis Internal Medicine Eod Esu2 Medical Department, 2520 Midway Rd, Ste 400, Norfolk, VA 23459 2017-06-08
1366837528 Ashleigh Long Internal Medicine Sentara Norfolk General Hospital, 600 Gresham Drive, Norfolk, VA 23507 2015-04-03
1366861148 Chad Kloefkorn Internal Medicine 1706 Hampton Blvd Apt 2, Norfolk, VA 23517-1625 2014-04-09
1245679364 David Amos Internal Medicine 825 Fairfax Ave Ste 429, Norfolk, VA 23507-1914 2013-06-21
1134482466 Albert Cheung Internal Medicine 241 Corporate Blvd Ste 210, Norfolk, VA 23502-4965 2012-06-21
1154558997 Priyanka Amit Patel Internal Medicine 6160 Kempsville Cir Ste 325, Norfolk, VA 23502-3933 2009-06-19
Find all providers in NORFOLK

Competitor

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City NORFOLK
Zip Code 23505

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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