Individual
EMMEITT KELLO III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
780 LYNNHAVEN PKWY STE 400, VIRGINIA BEACH, VA 23452-7332
(757) 701-1654
Mailing address
PO BOX 61593, VIRGINIA BEACH, VA 23466-1593
(757) 701-1654
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
T69005962
VA
Other
Enumeration date
05/09/2024
Last updated
05/09/2024
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