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Kellen Squire
NPI 1487563458 · on the registry since 2026 · sole proprietor
Practice
- Address
- 225 Jeanette Lancaster Way
Charlottesville, VA 22903 - Phone
- (434) 297-6600
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-09-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia