Individual
KEISHA NICOLA THIGPEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5839 HARBOUR VIEW BLVD, SUFFOLK, VA 23435-2659
(757) 483-6100
Mailing address
3725 SHORELINE DR, PORTSMOUTH, VA 23703-4035
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
VA
Other
Enumeration date
06/21/2018
Last updated
06/21/2018
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