Individual
KELLY M MAPLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 RIVERVIEW AVE, SUITE 301, NORFOLK, VA 23510
(757) 668-8255
(757) 668-9444
Mailing address
300 RIVERVIEW, STE 301, NORFOLK, VA 23510
(757) 668-8255
(757) 688-9444
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
0101237473
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010134986
—
VA
01
—
178379
ANTHEM
VA
01
—
7692114
CIGNA
VA
Enumeration date
02/08/2006
Last updated
02/26/2019
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