Individual
KELLY GREENHOLTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7025 HARBOUR VIEW BLVD STE A, SUFFOLK, VA 23435-2761
(757) 974-8262
Mailing address
7025 HARBOUR VIEW BLVD STE A, SUFFOLK, VA 23435-2761
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/05/2023
Last updated
01/05/2023
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