Individual
AKSEL KEKLIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
150 BURNETTS WAY, STE. 100, SUFFOLK, VA 23434-8168
(757) 547-5145
(757) 539-7488
Mailing address
501 DISCOVERY DR, CHESAPEAKE, VA 23320-3843
(757) 547-5145
(757) 312-0216
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110001528
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
49849053
TRICARE
VA
Enumeration date
07/13/2006
Last updated
03/07/2023
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