Individual
HEATHER KELLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1001 SAM PERRY BLVD, FREDERICKSBURG, VA 22401-4453
(540) 273-4591
Mailing address
9502 MOORES CREEK DR APT 203, FREDERICKSBURG, VA 22408-7787
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
0024184867
VA
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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