Individual
KELSEY SHIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1603 BAYVILLE ST, NORFOLK, VA 23503
(225) 250-7660
Mailing address
1603 BAYVILLE ST, NORFOLK, VA 23503
(225) 250-7660
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110005200
VA
Other
Enumeration date
01/29/2016
Last updated
06/29/2021
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