GORDON N. KELLETT, II M.D. – NPI #1114933298
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

GORDON KELLETT, II is a physician located in MIDLOTHIAN, VA. NPPES has assigned the NPI number 1114933298 to GORDON KELLETT, II on July 31, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 17 years ago on Jan 12, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GORDON KELLETT, II below.

NPI Profile for
GORDON N. KELLETT, II

NPI Number
1114933298
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
GORDON N. KELLETT, II
Credentials
M.D.
Primary location
13821 VILLAGE MILL DR
MIDLOTHIAN, VA 23114-4365
Phone: (804) 794-2821 Fax: (804) 794-4072
Mailing address
PO BOX 549
MIDLOTHIAN, VA 23113-0549
Phone: (804) 794-2821 Fax: (804) 794-4072
Sole Proprietor
No
Updated
Identifiers

Identifiers for GORDON KELLETT, II

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERANTHEMVA217017
OTHERCARENTVA21688
OTHERCIGNAVA11360
OTHERSOUTHERN HEALTHVA128503
OTHERUNITED HEALTH CAREVA1200296
MEDICAIDVA006703941
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
VA 0101025852

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.