Individual
KELLY A MATEJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-0816
(434) 924-0000
Mailing address
PO BOX 800778, CHARLOTTESVILLE, VA 22908-0778
(434) 982-4228
(434) 924-2078
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024170027
VA
367500000X
Certified Registered Nurse Anesthetist
RN285294
MA
Other
Enumeration date
01/07/2009
Last updated
11/17/2022
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