Individual
KELLY CHARRISE EPPS-ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8505 ARLINGTON BLVD STE 200, FAIRFAX, VA 22031
(703) 698-8525
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(703) 331-0300
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101255984
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16042
NOVITAS MEDICARE MANASSAS HEART
DC
01
—
C06380
PALMETTO GBA MEDICARE OF VIRGINIA
VA
01
—
C08583
PALMETTO GBA OF VIRGINIA MANASSAS HEART
VA
01
—
C09878
PALMETTO GBA OF VIRGINIA WARRENTON HEART
VA
01
—
G00773
NOVITAS MEDICARE
DC
Enumeration date
01/31/2007
Last updated
11/27/2023
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