NPI 1407522063

Kea Puller

Practitioner Community Health Worker Ashburn, VA

Practice location

Address: 22050 Eastside Dr APT 254, Ashburn, VA 20147-7224
Phone: (304) 261-4112

Registered specialties

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X

Other Community Health Worker providers in Virginia →

Registry record

NPI: 1407522063
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Aug 2021
Record last updated: 23 Aug 2021

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.