Individual
KELLY A LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
705 BATTLEFIELD BLVD N, CHESAPEAKE, VA 23320-4901
(804) 822-4351
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
(804) 968-5700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110003037
VA
Other
Enumeration date
06/29/2009
Last updated
02/10/2025
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