Individual
ROBYN MARIE REALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
700 24TH STREET, KENNER ARMY HEALTH CLINIC, FORT GREGG- ADAMS, VA 23801-1716
(804) 734-9057
(804) 734-9289
Mailing address
KENNER ARMY HEALTH CLINIC, 700 24 TH STREET, FORT GREGG-ADAMS, VA 23801-1716
(804) 734-9057
(804) 734-9289
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110002227
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790750628
—
VA
Enumeration date
02/22/2006
Last updated
04/08/2025
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