person
Kelly Gail Barriault, PA
Medical Physician Assistant in Chesapeake, Virginia
NPI 1164492138

Kelly Gail Barriault is a Medical Physician Assistant based in Suffolk, VA and is specialized in Medical. Kelly Gail Barriault practices in Chesapeake, VA and has the professional credentials of PA. The NPI Number for Kelly Gail Barriault is 1164492138 and holds a License No. 0110002088 (Virginia).

The current practice location address for Kelly Gail Barriault is 109 Wimbledon Sq, Chesapeake, VA and can be reached out via phone at 757-547-9830 and via fax at 757-548-0721. You can also correspond with Kelly Gail Barriault through the mailing address at 1035 CHAMPIONS WAY, SUFFOLK, VA - 23435-3762 (mailing address contact number: 757-394-1540).

Location: 109 Wimbledon Sq, Chesapeake, VA, 23435-3762
person
Provider Profile Details
NPI Number
1164492138
Provider Name
Kelly Gail Barriault
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
109 Wimbledon Sq, Chesapeake, VA, 23435-3762
Phone Number
757-547-9830
Fax Number
757-548-0721
Provider Enumeration Date
01/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1164492138 05 VA
institution
Provider Business Practice Location Address Details
Address
109 Wimbledon Sq
City
State
Zip
23320-4945
Phone Number
757-547-9830
Fax Number
757-548-0721
person
Provider Business Mailing Address Details
Address
109 Wimbledon Sq
City
State
Zip
23320-4945
Phone Number
757-547-9830
Fax Number
757-548-0721
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
0110002088 (Virginia)
Definition
Definition to come...
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