Kelli A Petronis
M.D. | Pediatric Emergency Medicine | Female
Kelli A Petronis, M.D. is a Norfolk, Virginia based Pediatric doctor with medical specialization in
Pediatric Emergency Medicine. Kelli A Petronis is also known as
Kelli A Maiers.
Current practice location of Kelli A Petronis is
601 Childrens Ln, Norfolk, Virginia - 23507-1910. She can be contacted on phone at
757-668-9222 and fax number 757-668-7568.
Kelli A Petronis is a sole proprietor of her business.
NPI number (Unique professional ID) for Kelli A Petronis is
1083661151 which was assigned by NPPES on 27 May, 2006 and it was last updated on 18 Dec, 2009.
Kelli A Petronis license number is
0101233589 for Pediatrics Pediatric Emergency Medicine (2080P0204X) in Virginia.
Kelli A Petronis has special qualifications to manage emergencies in infants and children.
Complete Profile:
Kelli A Petronis basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Emergency Medicine |
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| Provider Name : | Kelli A Petronis |
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| Other Name : | Kelli A Maiers |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Kelli A Petronis address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 601 Childrens Ln
Norfolk, VA, 23507-1910
United States |
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| Phone Number : | 757-668-9222 |
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| Fax Number : | 757-668-7568 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1083661151 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 27 May, 2006 |
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| Last Updated On : | 18 Dec, 2009 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kelli A Petronis are as mentioned. Primary taxonomy code for Kelli A Petronis, M.D. is
2080P0204X (Pediatrics Pediatric Emergency Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 207L00000X | Anesthesiology | No | 0101233589 | VA |
| 208000000X | Pediatrics | No | 0101233589 | VA |
| 2080P0204X | Pediatrics Pediatric Emergency Medicine | Yes | 0101233589 | VA |
Legacy Identifiers:
Other legacy medical identifiers of Kelli A Petronis such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1010661080001 | MEDICAID | PA | |
| 006739105 | MEDICAID | VA | |
| 403654900 | MEDICAID | MD | |
| 89066C4 | MEDICAID | NC | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 79137
Baltimore, MD, 21279-0137
United States |
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| Phone Number : | 757-668-7200 |
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| Fax Number : | 757-668-9691 |
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Business Location:
Patients can refer following map for directions to
Kelli A Petronis practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.