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Individual

DR. KELLY MACDONALD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
8401 GREENSBORO DR STE 550, MC LEAN, VA 22102-5146
(703) 951-7527
Mailing address
703 UPHAM PL NW, VIENNA, VA 22180-4131
(703) 728-9685

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
0810008508
VA

Other

Enumeration date
01/13/2026
Last updated
01/13/2026
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