Kenjack Medical LLC
NPI 1528423555 · Family Medicine Physician · Norfolk, VA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kenjack Medical LLC is a Family Medicine Physician organization in Norfolk, VA (NPI 1528423555).
Provider details
- NPI number
- 1528423555
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Garrett Kelly, President(757) 274-4452
- License
- 0102036923 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-12-17
- Last updated
- 2017-05-01
Frequently asked questions
- What is Kenjack Medical LLC's NPI number?
- Kenjack Medical LLC's National Provider Identifier (NPI) is 1528423555, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kenjack Medical LLC?
- Kenjack Medical LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Kenjack Medical LLC located?
- Kenjack Medical LLC's practice location on file with NPPES is 951 W 21st St, Norfolk, VA 23517-1534.
- What is Kenjack Medical LLC's phone number?
- The practice phone number listed in the NPPES registry for Kenjack Medical LLC is (757) 274-4452.
- Does Kenjack Medical LLC accept Medicare?
- Kenjack Medical LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Kenjack Medical LLC?
- The authorized official listed on Kenjack Medical LLC's NPPES record is Garrett Kelly, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kenjack Medical LLC's NPI active?
- Yes — Kenjack Medical LLC's NPI (1528423555) is active in the NPPES registry as of the last update on 2017-05-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.