Individual
DR. KELLI JO CONOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
9610 WARWICK BLVD, NEWPORT NEWS, VA 23601-4541
(757) 591-8834
(757) 591-2542
Mailing address
11015 WARWICK BLVD STE 100, NEWPORT NEWS, VA 23601-3225
(757) 591-8834
(757) 591-2542
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104001580
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
321210
BLUE CROSS BLUE SHIELD #
VA
01
—
350037642
RAILROAD MEDICARE
VA
Enumeration date
08/14/2006
Last updated
04/17/2018
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