Individual
PATRICIA S KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1201 BROCK ROACK BLVD., RICHMOND, VA 23249
(804) 675-5110
Mailing address
4000 HARCOURT COURT, RICHMOND, VA 23233
Taxonomy
Speciality
Code
Description
License number
State
374T00000X
Religious Nonmedical Nursing Personnel
Primary
0024133177
VA
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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