Individual
MARIA D. KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1230 GROVE PARK CT, EARLYSVILLE, VA 22936-2840
(434) 973-8057
Mailing address
1230 GROVE PARK CT, EARLYSVILLE, VA 22936-2840
(434) 973-8057
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
0101044014
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00300000962
—
VA
Enumeration date
02/09/2007
Last updated
11/03/2008
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