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
Fax: (757) 827-9320
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942441191 NPPES
Virginia Other P00724783 RAILROAD MEDICARE
Virginia Other 1942441191 RAILROAD MEDICARE
Virginia MEDICAID 1942441191 RAILROAD MEDICARE

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