Individual
KELLY BROWN JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, LM
Contact information
Practice address
96 LOCUST LN, BLUEMONT, VA 20135-4854
(703) 727-3053
Mailing address
96 LOCUST LN, BLUEMONT, VA 20135-4854
(703) 727-3053
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
0129000086
VA
Other
Enumeration date
06/17/2013
Last updated
06/17/2013
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