Individual
KELLI CHILDRESS KNEISEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6251 E VIRGINIA BEACH BLVD STE 200, NORFOLK, VA 23502-2800
(757) 466-8683
(757) 466-8892
Mailing address
6350 CENTER DR STE 200, NORFOLK, VA 23502-4107
(757) 905-5558
(757) 213-5762
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024171894
VA
Other
Enumeration date
09/23/2014
Last updated
12/13/2024
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