Kelli A Petronis M.D.

NPI 1083661151 - Anesthesiology - 207L00000X

NPI Details
NPI 1083661151
Gender Female
Enumeration Date 05/27/2006
Last Updated 12/18/2009
Entity Type Individual
Active Over 11 years ago
Practice Location
NORFOLK VA, 23507-1910, US
Phone (757) 668-9222
Fax (757) 668-7568
Business Location
PO BOX 79137
BALTIMORE MD, 21279-0137, US
Phone (757) 668-7200
Fax (757) 668-9691
Taxonomy Code 207L00000X
License State Virginia
License Number 0101233589
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According to our database, Kelli A Petronis M.D. NPI is 1083661151, taxonomy code is 207L00000X and license number is 0101233589, license state is located at Virginia. Kelli A Petronis M.D. physically located at 601 Childrens Ln, Norfolk VA, 23507-1910. NPI Number Kelli A Petronis M.D. has the Individual type.

1083661151 NPI number is provided on an as is basis without warranty of any kind. 1083661151 is maintained by the National Plan & Provider Enumeration System. The contents of Kelli A Petronis M.D. are for informational purposes only.