Individual
DR. KELLY LYNNE HALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
13880 BRADDOCK RD, SUITE 110, CENTREVILLE, VA 20121-2459
(703) 830-2020
(703) 830-4458
Mailing address
13880 BRADDOCK RD, SUITE 110, CENTREVILLE, VA 20121-2459
(703) 830-2020
(703) 830-4458
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000438
VA
Other
Enumeration date
11/21/2005
Last updated
06/28/2010
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