Individual provider · Type 1 NPI

Kelli Charlene Brezovic, PA-C

Medical Physician Assistant · Suffolk, VA

NPI number 1861722852 Active

Practice location

2470 Pruden Blvd
Suffolk, VA 23434-4206

Call (757) 539-1503 Map

Fax (757) 539-0107

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X0110002465 (VA)

Medical Physician Assistant: Definition to come...

9 other providers at this address

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About NPI 1861722852

Kelli Charlene Brezovic, PA-C's National Provider Identifier is 1861722852, issued on Jan 13, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Suffolk, VA. The record was last updated on Jan 13, 2010.