Provider Demographics
NPI:1306306394
Name:KLIMES, STEPHANIE GRACE-SCHELL (MD)
Entity type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:GRACE-SCHELL
Last Name:KLIMES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:STEPHANIE
Other - Middle Name:GRACE
Other - Last Name:SCHELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:825 FAIRFAX AVE STE 544
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23507-1914
Mailing Address - Country:US
Mailing Address - Phone:757-446-7900
Mailing Address - Fax:
Practice Address - Street 1:825 FAIRFAX AVE STE 544
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23507-1914
Practice Address - Country:US
Practice Address - Phone:757-446-7900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-25
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101270496208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice