KELLY E BAILEY LSA
Individual Provider (NPI-1)
Active
Specialist/Technologist, Other, Surgical Assistant
Provider Information
- NPI Number
1578348132- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LSA
- Status
- Active
Contact & Location
- Address
- 3636 HIGH ST, PORTSMOUTH, VA, 237073236
- Phone
- (757) 398-2346
Specialties & Taxonomies
Specialist/Technologist, Other, Surgical Assistant
Primary License: VA #0136000200