Petronis, Kelli A
Petronis, Kelli A is an individual health care provider with primary practice located at 601 Childrens Ln , Norfolk VA 23507-1910. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is her primary health care specialty. Petronis, Kelli A can be contacted via phone (757) 668-9222.Contact Information
Primary practice address
601 Childrens Ln
Norfolk VA 23507-1910
Phone: (757) 668-9222
Fax: (757) 668-7568
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 0101233589 | Virginia |
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 207PP0204X | 0101233589 | Virginia |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 0101233589 | Virginia |
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | 0101233589 | Virginia |
Profile Details
| NPI number | 1083661151 |
|---|---|
| LBN Legal business name | Petronis, Kelli A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2006 |
| Last updated | Jun 28th, 2023 - about last year |
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 | 1083661151 | NPPES |
| Virginia | MEDICAID | 006739105 | |
| Virginia | MEDICAID | 1010661080001 | |
| Virginia | MEDICAID | 89066C4 | |
| Virginia | MEDICAID | 403654900 |
Popular Providers
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White, Nicholas J
601 Childrens Ln , Norfolk VA 23507-1910 -
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Godambe, Sandip A
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Poirier, Michael P
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Schock, Kim
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Schmidt, James M
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Galiotos, Jennifer L.
601 Childrens Ln , Norfolk VA 23507-1910