Individual
MRS. KELSEY JO ALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C.
Contact information
Practice address
895 WASHINGTON ST SW, BLACKSBURG, VA 24061-3011
(540) 231-6444
(540) 231-7473
Mailing address
895 WASHINGTON ST SW, BLACKSBURG, VA 24061-1067
(540) 231-5350
(540) 231-7473
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110004767
VA
363A00000X
Physician Assistant
01856
WV
Other
Enumeration date
12/30/2014
Last updated
01/25/2022
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