Keklik, Aksel

Keklik, Aksel is an individual health care provider with primary practice located at 150 Burnetts Way Ste. 100, Suffolk VA 23434-8168. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Keklik, Aksel can be contacted via phone (757) 547-5145.

Contact Information

Primary practice address
150 Burnetts Way Ste. 100 Suffolk VA 23434-8168
Phone: (757) 547-5145
Fax: (757) 539-7488
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110001528 Virginia

Profile Details

NPI number 1043235989
LBN Legal business name Keklik, Aksel
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Mar 7th, 2023 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043235989 NPPES
Virginia Other 49849053 TRICARE

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