Individual
KELLY R HOST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2000 MEADE PKWY, SUFFOLK, VA 23434-4259
(757) 539-0251
(757) 539-7523
Mailing address
PO BOX 7068, PORTSMOUTH, VA 23707-0068
(757) 686-3508
(757) 686-0541
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001180236
VA
363LW0102X
Women's Health Nurse Practitioner
Primary
0024167399
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861698664
—
VA
05
—
7004047
—
NC
Enumeration date
06/27/2007
Last updated
09/25/2025
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