Individual
KAILEY BLAKENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1925 GLENN MITCHELL DR STE 206, VIRGINIA BEACH, VA 23456-0177
(757) 507-0720
(757) 431-7319
Mailing address
940 PARKLAND LN, VIRGINIA BEACH, VA 23464-5220
(757) 880-8223
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
1265000373
VA
Other
Enumeration date
01/18/2023
Last updated
01/18/2023
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