Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Anthony Kellam Jr.

Individual provider Prevention Professional · NPI 1851052005

Anthony Kellam Jr. is a Prevention Professional in Norfolk, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2022
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Practice location Address checks out

407 W Little Creek Rd
Norfolk, VA 23505-2301
Phone: (757) 377-6754
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prevention Professional (primary) Taxonomy 405300000X · Licence A60616220 (VA)

Record details

NPI number1851052005
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 9, 2022
Last updated in NPPESJanuary 9, 2022
Certification dateJanuary 9, 2022
Mailing address407 W Little Creek Rd, Norfolk, VA 23505-2301

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