Individual
KEELY EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
61 RICHARDSON DR, ROANOKE, VA 24019-8594
(540) 872-1013
Mailing address
61 RICHARDSON DR, ROANOKE, VA 24019-8594
(540) 872-1013
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
VA
Other
Enumeration date
03/03/2026
Last updated
03/03/2026
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