Individual
KELSEY AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1120 FIRST COLONIAL RD STE 100, VIRGINIA BEACH, VA 23454-2418
(757) 481-2333
(844) 245-8666
Mailing address
8237 TUNA PATH, LIVERPOOL, NY 13090-1347
(315) 200-7070
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110009575
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/23/2022
Last updated
09/18/2023
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