Individual
KYLEY ELIZABETH VON BARGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1250 E MARSHALL ST, RICHMOND, VA 23298-5023
(804) 828-3033
(804) 827-4998
Mailing address
13500 EDMONTHORPE RD, MIDLOTHIAN, VA 23113-3868
(804) 212-8510
Taxonomy
Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
0024185046
VA
Other
Enumeration date
01/11/2023
Last updated
01/11/2023
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