Individual
KELLY LORAINE DAUER PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8230 BOONE BLVD STE 170, VIENNA, VA 22182-2621
(571) 310-2502
(571) 413-0290
Mailing address
8230 BOONE BLVD STE 170, VIENNA, VA 22182-2621
(571) 310-2502
(571) 413-0290
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
0101273373
VA
208100000X
Physical Medicine & Rehabilitation Physician
185401
DC
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
0101273373
VA
2081P0010X
Pediatric Rehabilitation Medicine Physician
FE60464961
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/28/2010
Last updated
04/13/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us