Individual
KELLY ANNA PETROHOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
411 W RANDOLPH RD, HOPEWELL, VA 23860-2938
(804) 541-1600
Mailing address
12900 FOX MEADOW DR, HENRICO, VA 23233-2297
(804) 399-1108
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/02/2021
Last updated
06/14/2023
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