Individual
KELLY S COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2025 GLENN MITCHELL DR, VIRGINIA BEACH, VA 23456-0178
(757) 507-1000
(757) 507-1000
Mailing address
1925 GLENN MITCHELL DR STE 102, VIRGINIA BEACH, VA 23456-0170
(757) 464-1644
(757) 363-1071
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024179358
VA
Other
Enumeration date
05/22/2020
Last updated
05/22/2020
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