Individual
KELSEY HARMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7401 BEAUFONT SPRINGS DR STE 100, NORTH CHESTERFIELD, VA 23225-5504
(804) 203-2350
Mailing address
6515 W JUNALUSKA DR, RICHMOND, VA 23225-2219
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024176348
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024176348
NURSE PRACTITIONER LICENSE NUMBER
VA
Enumeration date
07/18/2018
Last updated
07/18/2018
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