Individual
KELLY DENISE DREWRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HAIR LOSS SPT.
Contact information
Practice address
526 N MAIN ST, EMPORIA, VA 23847-1236
(434) 336-9939
Mailing address
2147 SKIPPERS RD, EMPORIA, VA 23847-6110
(434) 637-0592
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
1202215563
VA
Other
Enumeration date
04/16/2018
Last updated
04/16/2018
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