Provider Demographics
NPI:1881018802
Name:BELL, RONALD KEITH (DACM, LAC)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:KEITH
Last Name:BELL
Suffix:
Gender:M
Credentials:DACM, LAC
Other - Prefix:DR
Other - First Name:R. KEITH
Other - Middle Name:
Other - Last Name:BELL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DACM, LAC
Mailing Address - Street 1:5500 MONUMENT AVE STE R
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23226-1452
Mailing Address - Country:US
Mailing Address - Phone:804-358-7071
Mailing Address - Fax:804-358-7073
Practice Address - Street 1:5500 MONUMENT AVE STE R
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23226-1452
Practice Address - Country:US
Practice Address - Phone:804-358-7071
Practice Address - Fax:804-358-7073
Is Sole Proprietor?:No
Enumeration Date:2014-02-11
Last Update Date:2020-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0121000121171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist