Individual
KELLY ANN BOTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
340 N PLEASANT VALLEY RD, WINCHESTER, VA 22601-5608
(406) 926-1325
(540) 900-0959
Mailing address
340 N PLEASANT VALLEY RD PO BOX 4164, WINCHESTER, VA 22601
(540) 692-6132
(540) 900-0959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0110003257
VA
363A00000X
Physician Assistant
Primary
0110003257
VA
Other
Enumeration date
02/25/2010
Last updated
04/14/2023
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