Barriault, Kelly Gail
Barriault, Kelly Gail is an individual health care provider with primary practice located at 885 Kempsville Rd Ste 309 , Norfolk VA 23502-3800. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Barriault, Kelly Gail can be contacted via phone (757) 347-2712.Contact Information
Primary practice address
885 Kempsville Rd Ste 309
Norfolk VA 23502-3800
Phone: (757) 347-2712
Fax: (757) 502-8933
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 0110002088 | Virginia |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0110002088 | Virginia |
Profile Details
| NPI number | 1164492138 |
|---|---|
| LBN Legal business name | Barriault, Kelly Gail |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2006 |
| Last updated | Aug 5th, 2026 - about 3 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164492138 | NPPES |
| Virginia | MEDICAID | 1164492138 |
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