Individual
SUSAN CAROL KILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
300 E MAIN ST STE 200, CHARLOTTESVILLE, VA 22902-5219
(434) 933-3318
(972) 646-9162
Mailing address
4751 CLOVER RIDGE CT, CHARLOTTESVILLE, VA 22901-9214
(434) 823-9835
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
0024178218
VA
Other
Enumeration date
08/16/2021
Last updated
08/16/2021
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