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Individual

KELLIE BONSOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, FNP-BC

Contact information

Practice address
245 MEDICAL PARK DR STE C, MARION, VA 24354-1100
(276) 378-3300
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 952-2111
(423) 282-1657

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024190221
VA
363LF0000X
Family Nurse Practitioner
11011859
FL

Other

Enumeration date
02/27/2021
Last updated
06/05/2025
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