Individual
MS. KYLENE E BOTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
445 CHARLES H DIMMOCK PKWY, SUITE 100, COLONIAL HEIGHTS, VA 23834-2970
(804) 520-1764
(866) 781-3220
Mailing address
445 CHARLES H DIMMOCK PKWY, SUITE 100, COLONIAL HEIGHTS, VA 23834-2970
(804) 520-1764
(866) 781-3220
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024167902
VA
363LF0000X
Family Nurse Practitioner
0024-167902
VA
Other
Enumeration date
07/16/2008
Last updated
02/01/2017
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