Individual
KELLY M BELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C.
Contact information
Practice address
19450 DEERFIELD AVE STE 100, LEESBURG, VA 20176-6821
(571) 350-3668
(703) 729-2689
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110008780
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
926580505
—
MD
Enumeration date
02/21/2013
Last updated
10/31/2022
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