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KELLY WALLACE, NP
NP
Nurse Practitioner
NPI: 1417609694IndividualAccepts Medicare
Specialties, Licenses & Credentials
Nurse PractitionerPrimary
Nurse Practitioner
Code: 363L00000X
0024183547(VA)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 2021
Contact & Hours
- Address
- 200 MEDICAL PARK BLVD
PETERSBURG, VA 23805 - Phone
- (804) 765-5000
Quick Facts
- NPI
- 1417609694
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 5
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