Provider Demographics
NPI:1992041537
Name:TURNER - SOTELO, KELLY MAPP (NP)
Entity Type:Individual
Prefix:MRS
First Name:KELLY
Middle Name:MAPP
Last Name:TURNER - SOTELO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:348 BROWNS HILL CT
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23114-9511
Mailing Address - Country:US
Mailing Address - Phone:804-272-2702
Mailing Address - Fax:804-747-9050
Practice Address - Street 1:7650 E PARHAM RD
Practice Address - Street 2:MOB II, SUITE 210
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23294-4373
Practice Address - Country:US
Practice Address - Phone:804-272-2702
Practice Address - Fax:804-747-9050
Is Sole Proprietor?:No
Enumeration Date:2013-01-01
Last Update Date:2016-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024170566363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily