Individual
KEONNA CHWILINISKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPA, PA-C
Contact information
Practice address
3060 GODWIN BLVD, SUFFOLK, VA 23434-8274
(757) 923-9660
(757) 923-9665
Mailing address
3060 GODWIN BLVD, SUFFOLK, VA 23434-8274
(757) 923-9660
(757) 923-9665
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110011162
VA
Other
Enumeration date
01/02/2025
Last updated
08/06/2025
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