Individual
KENDALL CELESTE BOPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1250 E MARSHALL ST, RICHMOND, VA 23298-5023
(804) 828-9000
Mailing address
801 WATKINS VIEW DR APT 403, MIDLOTHIAN, VA 23114-7107
(540) 842-1894
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001270881
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024189283
VA
Other
Enumeration date
06/28/2023
Last updated
01/26/2024
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