Kathleen R Kelley MD

NPI 1053348763 - Pediatrics - 208000000X

NPI Details
NPI 1053348763
Gender Female
Enumeration Date 06/27/2006
Last Updated 10/30/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
3299 WOODBURN RD
SUITE 230
ANNANDALE VA, 22003-1275, US
Phone (703) 205-2600
Fax (703) 205-2624
Business Location
3300 GALLOWS RD
PHYSICIAN BILLING
FALLS CHURCH VA, 22042-3307, US
Phone (703) 776-1110
Fax (703) 776-2917
Toxanomy
Taxonomy Code 208000000X
License State Virginia
License Number 0101031289
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According to our database, Kathleen R Kelley MD NPI is 1053348763, taxonomy code is 208000000X and license number is 0101031289, license state is located at Virginia. Kathleen R Kelley MD physically located at 3299 Woodburn Rd, Annandale VA, 22003-1275. NPI Number Kathleen R Kelley MD has the Individual type.

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1053348763 NPI number is provided on an as is basis without warranty of any kind. 1053348763 is maintained by the National Plan & Provider Enumeration System. The contents of Kathleen R Kelley MD are for informational purposes only.