| Energie Wellness Soulutions | |
|
313 Neff Ave Suite C1 Harrisonburg VA 22801-3495 | |
| (540) 432-1700 | |
| (540) 433-2637 |
| Full Name | Energie Wellness Soulutions |
|---|---|
| Speciality | Internal Medicine |
| Location | 313 Neff Ave, Harrisonburg, Virginia |
| Authorized Official Name and Position | Kathleen Kelley (CEO MD OWNER) |
| Authorized Official Contact | 5404321700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Energie Wellness Soulutions 40 Maplehurst Ave Harrisonburg VA 22801-3030 Ph: (540) 432-1700 | Energie Wellness Soulutions 313 Neff Ave Suite C1 Harrisonburg VA 22801-3495 Ph: (540) 432-1700 |
| NPI Number | 1740649524 |
|---|---|
| Provider Enumeration Date | 02/22/2016 |
| Last Update Date | 02/22/2016 |
| Medicare PECOS PAC ID | 7416252747 |
|---|---|
| Medicare Enrollment ID | O20160225000159 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740649524 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0101045174 (Virginia) | Primary |
| Provider Name | Kathleen S Kelley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992760797 PECOS PAC ID: 5597776914 Enrollment ID: I20060524000218 |
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