| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JAMES PIERCE KEGLEY | 1619434776 | 2024-08-11 |
James Pierce Kegley is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1619434776. Registration indicates James Pierce Kegley is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Specialist/Technologist (Specialist/Technologist: Athletic Trainer, ) (All Other Specialties & Provider Types, ) (Specialist/Technologist Athletic Trainer, Respiratory, Developmental, Rehabilitative and Restorative Service Providers) (Specialist/Technologist, ) (Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Specialist/Technologist) (Specialist/Technologist: Athletic Trainer, ) (All Other Specialties & Provider Types, ) (Specialist/Technologist Athletic Trainer, Respiratory, Developmental, Rehabilitative and Restorative Service Providers) (Specialist/Technologist, )
| Entity Type | Individual |
| Provider Name | Mr. James Pierce Kegley Iii LAT, ATC |
| Practice Office Address | 3700 JAMES RIVER RD MIDLOTHIAN, VA US |
| Practice Office Telephone | 8043782420 |
| Mailing Address | 2000 ABBERLY CIR APT 2118 MIDLOTHIAN, VA 231143270 US |
| Business Telephone | 8045724822 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 3319 Millwood Ave | Columbia, SC 292051828 | 8033253700 |
| 4901 Cogbill Rd | North Chesterfield, VA 232345307 | 8047433675 |
| 1300 W Broad St | Richmond, VA 232849058 | 8048280713 |
| Code | Practice | License No State |
|---|---|---|
| 2255A2300X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Specialist/Technologist Specialist/Technologist: Athletic Trainer All Other Specialties & Provider Types Specialist/Technologist Athletic Trainer Respiratory, Developmental, Rehabilitative and Restorative Service Providers Specialist/Technologist | AT03073
SC |
| 2255A2300X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Specialist/Technologist Specialist/Technologist: Athletic Trainer All Other Specialties & Provider Types Specialist/Technologist Athletic Trainer Respiratory, Developmental, Rehabilitative and Restorative Service Providers Specialist/Technologist | 0126003567
VA |