Individual
MRS. VICKIE RAE KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN FNP-C
Contact information
Practice address
1300 HOSPITAL DR STE 300, FREDERICKSBURG, VA 22401-8451
(540) 656-2830
(540) 656-2856
Mailing address
1300 HOSPITAL DR STE 300, FREDERICKSBURG, VA 22401-8451
(540) 656-2830
(540) 656-2856
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0024176957
VA
363LF0000X
Family Nurse Practitioner
0024176957
VA
Other
Enumeration date
11/20/2018
Last updated
11/29/2018
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