MRS. KELLI CHARLENE BREZOVIC PA-C NPI 1861722852

NPI Information

  • NPI: 1861722852
  • Provider Name: MRS. KELLI CHARLENE BREZOVIC, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • Address: 2470 PRUDEN BLVD
    SUFFOLK, VA
    ZIP 23434
  • Phone: (757) 539-1503

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NPI Details

MRS. Kelli Charlene Brezovic, PA-C is a medical physician assistant in Suffolk, VA. MRS. Kelli Charlene Brezovic, PA-C NPI is 1861722852. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2470 PRUDEN BLVD
SUFFOLK, VA
ZIP 23434-206
Phone: (757) 539-1503
Fax: (757) 539-0107

The enumeration date for this NPI number is 1/13/2010 and was last updated on 1/13/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedical0110002465VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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