Individual
KELLY LESLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-FNP-C
Contact information
Practice address
925 VILLAGE HWY, RUSTBURG, VA 24588-4591
(434) 929-1400
Mailing address
134 ELON RD, MADISON HEIGHTS, VA 24572-2536
(344) 929-1400
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024182771
VA
363LF0000X
Family Nurse Practitioner
CNP201331
ME
Other
Enumeration date
11/18/2019
Last updated
05/21/2025
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