Individual
KELLY A STENSRUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
637 KINGSBOROUGH SQ STE E, CHESAPEAKE, VA 23320-4944
(757) 410-2804
(757) 410-2824
Mailing address
1529 FULLER LN, VIRGINIA BEACH, VA 23455-4211
(651) 757-7656
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110-005776
VA
Other
Enumeration date
06/15/2017
Last updated
07/22/2020
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