Provider Demographics
NPI:1467827568
Name:KALEMBA, DENISE (PT, MED)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:
Last Name:KALEMBA
Suffix:
Gender:F
Credentials:PT, MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2960 CHELSEA RD
Mailing Address - Street 2:
Mailing Address - City:WEST POINT
Mailing Address - State:VA
Mailing Address - Zip Code:23181-9793
Mailing Address - Country:US
Mailing Address - Phone:804-843-4323
Mailing Address - Fax:804-843-2512
Practice Address - Street 1:2960 CHELSEA RD
Practice Address - Street 2:
Practice Address - City:WEST POINT
Practice Address - State:VA
Practice Address - Zip Code:23181-9793
Practice Address - Country:US
Practice Address - Phone:804-843-4323
Practice Address - Fax:804-843-2512
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-01
Last Update Date:2016-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305207065171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor