Individual
MARILYN S KELLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
110 KINGSLEY LN, SUITE 302, NORFOLK, VA 23505-4614
(757) 345-2885
Mailing address
110 KINGSLEY LN, SUITE 302, NORFOLK, VA 23505-4614
(757) 345-2885
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101036061
VA
Other
Enumeration date
09/14/2005
Last updated
09/19/2016
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