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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083661151 NPPES
Virginia MEDICAID 006739105
Virginia MEDICAID 1010661080001
Virginia MEDICAID 89066C4
Virginia MEDICAID 403654900

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