Individual
MS. KELLI MASSEY-MAKHOUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2621 GROVE AVE, RICHMOND, VA 23220-4308
(804) 254-5185
Mailing address
2621 GROVE AVE, RICHMOND, VA 23220-4308
(804) 254-5185
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024169968
VA
Other
Enumeration date
04/04/2012
Last updated
04/04/2012
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