NPI 1043845712

Kelley Widel Vitolo, CSFA

Practitioner Surgical Assistant Roanoke, VA

Practice location

Address: 3411 Londonderry CT, Roanoke, VA 24018-5059
Phone: (336) 327-9175

Registered specialties

Surgical Assistant Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZC0007X

Other Specialist/Technologist, Other providers in Virginia →

Registry record

NPI: 1043845712
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Mar 2020
Record last updated: 3 Mar 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.