Organization
BLUE RIDGE BIRTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY BROWN JENKINS CPM, LM (CERTIFIED PROFESSIONAL MIDWIFE)
(703) 727-3053
Entity
Organization
Contact information
Practice address
96 LOCUST LN, BLUEMONT, VA 20135-4854
(703) 727-3053
Mailing address
96 LOCUST LN, BLUEMONT, VA 20135-4854
(703) 727-3053
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
0129000086
VA
Other
Enumeration date
12/08/2014
Last updated
12/08/2014
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