Individual
MRS. KENDRA ALISE NEELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12655 WARWICK BLVD STE A, NEWPORT NEWS, VA 23606-2501
(757) 223-4118
(757) 595-0362
Mailing address
860 OMNI BLVD STE 101, NEWPORT NEWS, VA 23606-4430
(757) 232-8769
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110005955
VA
363A00000X
Physician Assistant
PA1941
KY
Other
Enumeration date
07/16/2014
Last updated
02/11/2020
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