Individual
MRS. KENNIE I KOELSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, ACNP-BC, CRNP
Contact information
Practice address
2726 ELECTRIC RD, ROANOKE, VA 24018-3528
(540) 772-4448
(540) 772-0410
Mailing address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 728-0298
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024171146
VA
363LA2100X
Acute Care Nurse Practitioner
SP009837
PA
Other
Enumeration date
03/13/2009
Last updated
02/11/2026
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