Byrum, Kelly V
Byrum, Kelly V is an individual health care provider with primary practice located at 3000 Coliseum Dr Suite 104, Hampton VA 23666-5963. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Byrum, Kelly V can be contacted via phone (757) 827-9400.Contact Information
Primary practice address
3000 Coliseum Dr Suite 104
Hampton VA 23666-5963
Phone: (757) 827-9400
Fax: (757) 827-9320
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0110002989 | Virginia |
Profile Details
| NPI number | 1942441191 |
|---|---|
| LBN Legal business name | Byrum, Kelly V |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 18th, 2009 |
| Last updated | May 16th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942441191 | NPPES |
| Virginia | Other | P00724783 | RAILROAD MEDICARE |
| Virginia | Other | 1942441191 | RAILROAD MEDICARE |
| Virginia | MEDICAID | 1942441191 | RAILROAD MEDICARE |
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