Organization
KELLY COVE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL KELLY (PRESIDENT)
(703) 801-0773
Entity
Organization
Contact information
Practice address
3110 MOUNT VERNON AVE APT 1206, ALEXANDRIA, VA 22305-2654
(703) 801-0773
Mailing address
3110 MOUNT VERNON AVE APT 1206, ALEXANDRIA, VA 22305-2654
(703) 801-0773
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2705097760
VA
Other
Enumeration date
09/25/2017
Last updated
07/21/2022
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