Kirkhart, Senecca Elliott
Kirkhart, Senecca Elliott is an individual health care provider with primary practice located at 2100 Wilborn Ave , South Boston VA 24592-1628. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Kirkhart, Senecca Elliott can be contacted via phone (434) 517-8022.Contact Information
Primary practice address
2100 Wilborn Ave
South Boston VA 24592-1628
Phone: (434) 517-8022
Fax: (434) 517-8370
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 0024167190 | Virginia |
Profile Details
| NPI number | 1316074768 |
|---|---|
| LBN Legal business name | Kirkhart, Senecca Elliott |
| Credentials | Certified Pediatric Nurse Practitioner (CPNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 2007 |
| Last updated | Nov 20th, 2020 - about 5 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 | 1316074768 | NPPES |
| Virginia | MEDICAID | 1316074768 |
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