Individual
SARAH D KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
21785 FILIGREE CT STE 100, ASHBURN, VA 20147-6214
(703) 554-1122
(703) 554-1047
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
363A00000X
Physician Assistant
Primary
0110007254
VA
Other
Enumeration date
09/24/2014
Last updated
05/04/2022
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