Individual
GWENDOLYN VALERIE KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
600 PETER JEFFERSON PKWY STE 200, CHARLOTTESVILLE, VA 22911-8835
(434) 296-6461
(434) 296-7529
Mailing address
600 PETER JEFFERSON PKWY STE 200, CHARLOTTESVILLE, VA 22911-8835
(434) 296-6461
(434) 296-7529
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
101059188
VA
Other
Enumeration date
07/24/2006
Last updated
08/10/2023
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