Individual
DAVID L. KELLY
Active
Individual
DAVID L. KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101037821
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005847851
—
VA
01
—
110170382
RAILROAD MEDICARE
VA
01
—
1383250
CIGNA
VA
01
—
296096
MAMSI
VA
01
—
432880
ANTHEM BCBS OF VA
VA
01
—
4458500
AETNA HMO
VA
01
—
45906
SENTARA
VA
01
—
79153
SOUTHERN HEALTH SERVICES
VA
Enumeration date
06/29/2006
Last updated
11/24/2009
Update your record
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