SearchVirginia124Q00000X

Kelly Tanner, RDH

NPI 1992474688 · on the registry since 2021

Practice

Address
169 Marywood Dr
Williamsburg, VA 23185
Phone
(804) 536-3022

Registry record

Primary taxonomy
124Q00000X
124Q00000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-09-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia