Individual
KEONA BYRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
2100 EXECUTIVE DR, HAMPTON, VA 23666-2402
(757) 826-1600
Mailing address
2212 STING RAY POINT LN, HAMPTON, VA 23665-2421
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0024178238
VA
Other
Enumeration date
09/20/2019
Last updated
09/20/2019
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