Individual
BRIAN KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5635 RABY RD STE D, NORFOLK, VA 23502-2465
(757) 956-5257
(757) 956-5283
Mailing address
5635 RABY RD STE D, NORFOLK, VA 23502-2465
(757) 956-5257
(757) 956-5283
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
05/19/2021
Last updated
05/19/2021
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