Individual provider · Type 1 NPI
Kelly O'Connell, PNP
Pediatric Nurse Practitioner · Charlottesville, VA
NPI number
1508312612
Active
Practice location
1204 W Main St, 5th Floor
Charlottesville, VA 22903-2824
Fax (434) 243-5204
Mailing address
PO Box 9007
Charlottesville, VA 22906-9007
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 0024173788 (VA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1508312612
Kelly O'Connell, PNP's National Provider Identifier is 1508312612, issued on Aug 29, 2016. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Charlottesville, VA. The record was last updated on Aug 29, 2016.