Healthcare Provider Details

I. General information

NPI: 1700588936
Provider Name (Legal Business Name): KELSIE STRONG NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2023
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21264 BATTLE HILL DR
BRISTOL VA
24202-4340
US

IV. Provider business mailing address

PO BOX 297
MEADOWVIEW VA
24361-0297
US

V. Phone/Fax

Practice location:
  • Phone: 276-496-4492
  • Fax:
Mailing address:
  • Phone: 276-496-4492
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024188300
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: