Individual
JENNIFER LEE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4519 STANBROOK DR, NORTH CHESTERFIELD, VA 23234-4021
(804) 882-6351
Mailing address
4519 STANBROOK DR, NORTH CHESTERFIELD, VA 23234-4021
(804) 882-6351
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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