Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Kellen James Squire

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1487563458

Kellen James Squire is a Student in an Organized Health Care Education/Training Program in Charlottesville, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2026
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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Charlottesville, VA

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Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (VA)

Record details

NPI number1487563458
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 3, 2026
Last updated in NPPESSeptember 3, 2026
Certification dateSeptember 3, 2026

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