Individual
VICTORIA ELIZABETH KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
15435 W 134TH PL STE 103, OLATHE, KS 66062-6135
(913) 588-1227
Mailing address
15435 W 134TH PL STE 103, OLATHE, KS 66062-6135
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-02665
KS
363A00000X
Physician Assistant
2021034610
MO
Other
Enumeration date
04/28/2022
Last updated
07/02/2025
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