Individual
KELLEY MARIE SONNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1 JARRETT WHITE RD, TRIPLER AMC, HI 96859-5001
(210) 916-3160
Mailing address
1 JARRETT WHITE RD, TRIPLER AMC, HI 96859-5001
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0102205885
VA
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
0102205885
VA
208D00000X
General Practice Physician
0102205885
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/04/2018
Last updated
11/19/2024
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