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Individual

DR. CATHERINE MCVEARRY KELSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1201 BROAD ROCK BLVD, RICHMOND, VA 23224-4915
(804) 675-5972
Mailing address
PO BOX 91734, RICHMOND, VA 23291-1745
(804) 358-6100
(804) 342-7619

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101056286
VA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
0101056286
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5850436
VA
Enumeration date
10/13/2006
Last updated
06/01/2012
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