Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Kelley Widel Vitolo, CSFA

Individual provider Surgical Assistant · NPI 1043845712

MS. Kelley Widel Vitolo, CSFA is a Surgical Assistant in Roanoke, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2020
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Practice location Address checks out

3411 Londonderry Ct
Roanoke, VA 24018-5059
Phone: (336) 327-9175
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Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X (VA)

Record details

NPI number1043845712
Entity typeIndividual (Type 1)
GenderFemale
Credentials CSFA
Sole proprietorYes
NPI enumeratedMarch 3, 2020
Last updated in NPPESMarch 3, 2020
Certification dateMarch 3, 2020
Mailing address3411 Londonderry Ct, Roanoke, VA 24018-5059

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