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
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Registered Nurse Primary | 163WP0200X | 0001286260 (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.