Individual
MRS. KELSEY ELISABETH STAPLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
631 CAMPUS DR, ABINGDON, VA 24210-9700
(276) 676-3870
(276) 628-8927
Mailing address
PO BOX 9, KINGSPORT, TN 37662-0009
(423) 857-2093
(423) 390-3340
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110006122
VA
363A00000X
Physician Assistant
3586
TN
Other
Enumeration date
04/25/2018
Last updated
10/31/2021
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