Doctor Name: | DR. CHERYL MICHELLE STARRETT-KELLER |
NPI Number: | 1952544983 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D |
License Number: | 0101243991 |
Business Practice Address: | Uss Kearsarge Lhd 3 Fpo, AE - 095341662 |
Business Phone Number: | 7573964282 |
Business Fax Number: | |
Mailing Address: | 405 Lakeside Dr, SUFFOLK |
State: | VA |
Postal Code: | 234352783 |
Phone Number: | 7576862625 |
Fax Number: | |
NPI Enumeration Date: | 04/07/2009 |
NPI Last Update Date: | 04/07/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 0101243991 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |