Individual
DR. KELLEY PAGLIAI REDBORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
243 CHURCH ST NW, SUITE 200-C, VIENNA, VA 22180-4434
(703) 938-5700
(703) 938-4467
Mailing address
PO BOX 79262, BALTIMORE, MD 21279-0262
(703) 938-5700
(703) 938-4467
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101241641
VA
207ND0101X
MOHS-Micrographic Surgery Physician
0101241641
VA
Other
Enumeration date
03/14/2007
Last updated
03/28/2008
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