Individual
KELSEY BRIDGET MAHONEY SAYRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 MEADE PKWY STE 100, SUFFOLK, VA 23434-4259
(757) 934-9395
Mailing address
5332 MINERAL SPRING RD, SUFFOLK, VA 23438-9620
(757) 615-3013
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110007460
VA
Other
Enumeration date
06/30/2020
Last updated
09/18/2024
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