Individual
MRS. KELSEY JORDANA GARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
725 VOLVO PKWY, CHESAPEAKE, VA 23320-1621
(757) 842-4100
(757) 410-3562
Mailing address
3241 WESTERN BRANCH BLVD STE A, CHESAPEAKE, VA 23321-5260
(757) 686-3508
(757) 686-0541
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110-006320
VA
363AM0700X
Medical Physician Assistant
Primary
0110-006320
VA
363AS0400X
Surgical Physician Assistant
0110-006320
VA
Other
Enumeration date
09/10/2018
Last updated
11/30/2018
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