Individual
MRS. PARVEEN KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, LM
Contact information
Practice address
12300 TANALIAN FALLS LN, BRISTOW, VA 20136-2176
(703) 505-5499
Mailing address
12300 TANALIAN FALLS LN, BRISTOW, VA 20136-2176
(703) 945-1591
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
0129000059
VA
Other
Enumeration date
01/01/2011
Last updated
12/06/2011
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