Provider Demographics
NPI:1851654230
Name:KEL INC.
Entity Type:Organization
Organization Name:KEL INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:LONGE
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:703-946-3227
Mailing Address - Street 1:10448 WHEATLEY SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:MARSHALL
Mailing Address - State:VA
Mailing Address - Zip Code:20115-2672
Mailing Address - Country:US
Mailing Address - Phone:703-946-3227
Mailing Address - Fax:
Practice Address - Street 1:6379 AIRLIE RD
Practice Address - Street 2:
Practice Address - City:WARRENTON
Practice Address - State:VA
Practice Address - Zip Code:20187-4154
Practice Address - Country:US
Practice Address - Phone:703-946-3227
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-20
Last Update Date:2016-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2035204891261QP2000X
CA20062261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy