Individual
MRS. KAMILLA A SHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
160 KINGSLEY LN, SUITE 400, NORFOLK, VA 23505-4600
(757) 321-3383
(757) 321-3332
Mailing address
230 CLEARFIELD AVE, SUITE 124, VIRGINIA BEACH, VA 23462-1832
(757) 321-3383
(757) 321-3332
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110003536
VA
Other
Enumeration date
06/01/2011
Last updated
05/16/2016
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