Robert J. Kelly | Newport News, VA • PECOS Search

Robert J. Kelly

Social Worker

Behavioral Health & Social Service Providers

11825 Rock Landing Dr, 100 James Bldg., Newport News, VA 23606-4236

PECOS Enrollment

Based on the most recent information from CMS, provider Robert J. Kelly does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1013928423
Provider Type
Individual
Full Name
Kelly, Robert J.
Title
Mr.
Credential
MSW

Gender
Male
Sole Proprietor
Yes
Enumeration Date
8/10/2006
Last Updated
7/8/2007

Contact Information

Practice Location

11825 Rock Landing Dr, 100 James Bldg., Newport News, VA 23606-4236

Unlisted Fax

Mailing Location

11825 Rock Landing Dr, 100 James Bldg., Newport News, VA 23606-4236

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 0904000361 Virginia