Individual
DR. TINA VU KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3223 DUKE ST, SUITE B3, ALEXANDRIA, VA 22314-4586
(703) 813-8997
Mailing address
3223 DUKE ST STE B3, ALEXANDRIA, VA 22314-4555
(703) 813-8997
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001670
VA
Other
Enumeration date
10/11/2007
Last updated
01/08/2020
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