Individual
KELLY BJERKNESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
401 SECOND AVE, HALETHORPE, MD 21227-3203
(757) 389-2831
Mailing address
401 SECOND AVE, HALETHORPE, MD 21227-3203
(757) 389-2831
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
0001264458
VA
Other
Enumeration date
09/26/2025
Last updated
09/26/2025
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