Individual
MS. DEBORAH M KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-4002
Mailing address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-4002
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
0001206923
VA
363LP0222X
Critical Care Pediatric Nurse Practitioner
0024184656
VA
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
RN1055152
DC
Other
Enumeration date
12/06/2021
Last updated
11/26/2022
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