Barriault, Kelly Gail
Barriault, Kelly Gail is an individual health care provider with primary practice located at 109 Wimbledon Sq Ste. E, Chesapeake VA 23320-4945. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Barriault, Kelly Gail can be contacted via phone (757) 547-9830.Contact Information
Primary practice address
109 Wimbledon Sq Ste. E
Chesapeake VA 23320-4945
Phone: (757) 547-9830
Fax: (757) 548-0721
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 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 | Feb 16th, 2017 - about 9 years 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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