Individual
EARNESTINA ADELE KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11465 OAKFORK DR, NEW KENT, VA 23124-2056
(804) 629-9698
Mailing address
11465 OAKFORK DR, NEW KENT, VA 23124-2056
(804) 629-9698
Taxonomy
Speciality
Code
Description
License number
State
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Enumeration date
02/17/2026
Last updated
02/17/2026
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