Individual
ALLISON M KEPHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
601 CHILDRENS LN, NORFOLK, VA 23507-1910
(757) 668-7244
(757) 668-9814
Mailing address
PO BOX 79137, BALTIMORE, MD 21279-0137
(757) 668-7200
(757) 668-9691
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0024165859
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010164613
—
VA
Enumeration date
06/09/2006
Last updated
12/09/2009
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