Individual
KELLY M WASHBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
17068 LANKFORD HIGHWAY, EASTVILLE, VA 23347
(757) 331-1086
(757) 442-9505
Mailing address
20280 MARKET ST, ONANCOCK, VA 23417-1331
(757) 414-0400
(757) 414-0569
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
233266
MA
Other
Enumeration date
09/07/2007
Last updated
06/04/2020
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