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Individual

KELLY CHRISTINA OWENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11747 JEFFERSON AVE STE 6C, NEWPORT NEWS, VA 23606-1998
(757) 870-6803
Mailing address
248 WEATHERFORD WAY, NEWPORT NEWS, VA 23602-7579
(757) 870-6803

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
0024172522
VA
363LW0102X
Women's Health Nurse Practitioner
Primary
0024172522
VA

Other

Enumeration date
05/14/2015
Last updated
08/28/2022
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