Individual
KELLY LEILICH WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5809 MONET DR, ROANOKE, VA 24018-5240
(443) 803-1999
Mailing address
5809 MONET DR, ROANOKE, VA 24018-5240
(443) 803-1999
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024197515
VA
Other
Enumeration date
06/19/2026
Last updated
06/19/2026
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