Individual
KENETA MCKELLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-0816
(434) 924-2283
(434) 982-0019
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101278898
VA
207LP2900X
Pain Medicine (Anesthesiology) Physician
0101278898
VA
207LP3000X
Pediatric Anesthesiology Physician
MT216677
PA
Other
Enumeration date
05/22/2018
Last updated
09/14/2023
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