Organization
K.O. HEALTH SERVICES, LLC
Active
Other names
K.O. Health Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY OWENS NP (NURSE PRACTITIONER)
(757) 870-6803
Entity
Organization
Contact information
Practice address
11747 JEFFERSON AVE STE 6C, NEWPORT NEWS, VA 23606-1998
(757) 870-7838
Mailing address
11747 JEFFERSON AVE STE 6C, NEWPORT NEWS, VA 23606-1998
(757) 870-7838
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
01/17/2022
Last updated
12/04/2024
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