Provider Demographics
NPI:1275362212
Name:RORIE, KESHA S (RN)
Entity type:Individual
Prefix:
First Name:KESHA
Middle Name:S
Last Name:RORIE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:KESHA
Other - Middle Name:S
Other - Last Name:LIND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:2605 WILKES DR # A
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23456-7501
Mailing Address - Country:US
Mailing Address - Phone:757-232-2656
Mailing Address - Fax:
Practice Address - Street 1:2605 WILKES DR # A
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23456-7501
Practice Address - Country:US
Practice Address - Phone:757-232-2656
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-29
Last Update Date:2024-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001290574163WP0809X, 163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult