Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Kelli Charlene Brezovic, PA-C

Individual provider Medical Physician Assistant · NPI 1861722852

Mrs. Kelli Charlene Brezovic, PA-C is a Medical Physician Assistant in Suffolk, Virginia. Licensed in Virginia. Registered with an NPI since 2010.

Licensed in
VA
In the registry since
2010
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2470 Pruden Blvd
Suffolk, VA 23434-4206
Phone: (757) 539-1503
Fax: (757) 539-0107
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 0110002465 (VA)

Record details

NPI number1861722852
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 13, 2010
Last updated in NPPESJanuary 13, 2010

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