Individual
KAYLIE E WREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
601 CHILDRENS LN, NORFOLK, VA 23507-1910
(757) 668-7990
Mailing address
1033 28TH ST, NEWPORT NEWS, VA 23607-4233
(757) 952-2160
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110005110
VA
Other
Enumeration date
10/20/2015
Last updated
04/26/2023
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