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Contact Information

KELLY K DO
620 JOHN PAUL JONES CIRCLE
SUFFOLK, VA23435
 Phone: 757-953-7000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for KELLY K DO · (Female)

NPI # 1801114558
Status Active
Credentials
Entity Individual
Enumeration date 05/05/2010
Last updated 11/18/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • VA License # 0202207711
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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