Individual
CHARLENE M KEGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
902 S JEFFERSON ST, ROANOKE, VA 24016-4404
(540) 985-9862
Mailing address
902 S JEFFERSON ST, ROANOKE, VA 24016-4404
(540) 985-9862
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
0024167854
VA
Other
Enumeration date
07/17/2008
Last updated
07/17/2008
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