Individual
KILEY F FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 RIVERSIDE CIR STE 300, ROANOKE, VA 24016-4962
(540) 581-0254
(540) 581-0120
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101281436
VA
207ND0900X
Dermatopathology Physician
0101281436
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10808
—
GA
Enumeration date
04/15/2019
Last updated
02/16/2026
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