Individual provider · Type 1 NPI

Kellie Blackwelder, RN

Pediatric Registered Nurse · Norfolk, VA

NPI number 1558032292 Active

Practice location

601 Childrens Ln
Norfolk, VA 23507-1910

Mailing address

120 Kenneth Ct
Newport News, VA 23602-6560

Specialties and licenses

TaxonomyCodeLicense
Pediatric Registered Nurse Primary 163WP0200X0001286260 (VA)

Pediatric Registered Nurse: Definition to come...

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About NPI 1558032292

Kellie Blackwelder, RN's National Provider Identifier is 1558032292, issued on Sep 22, 2021. The primary taxonomy on file is Pediatric Registered Nurse (163WP0200X), and the practice location is in Norfolk, VA. The record was last updated on Sep 22, 2021.