Individual
KAITLYN BOCCELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3920A BRIDGE RD STE 207, SUFFOLK, VA 23435-1118
(757) 983-2200
(757) 983-2201
Mailing address
3920A BRIDGE RD STE 207, SUFFOLK, VA 23435-1118
(757) 983-2200
(757) 983-2201
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110011055
VA
Other
Enumeration date
06/17/2025
Last updated
07/28/2026
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