Individual
KATHLEEN R KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3299 WOODBURN RD, SUITE 230, ANNANDALE, VA 22003-1275
(703) 205-2600
(703) 205-2624
Mailing address
3300 GALLOWS RD, PHYSICIAN BILLING, FALLS CHURCH, VA 22042-3307
(703) 776-1110
(703) 776-2917
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101031289
VA
Other
Enumeration date
06/27/2006
Last updated
10/30/2007
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