Individual
KELLY K DO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
620 JOHN PAUL JONES CIRCLE, SUFFOLK, VA 23435
(757) 953-7000
Mailing address
4102 MCKENNA CLOSE, CHESAPEAKE, VA 23321-3367
(757) 846-3594
(757) 846-3594
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202207711
VA
Other
Enumeration date
05/05/2010
Last updated
11/18/2021
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