Individual
KELLY R ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1565 OAKBRIDGE TER STE D, POWHATAN, VA 23139-8066
(804) 378-3223
Mailing address
1565 OAKBRIDGE TER STE D, POWHATAN, VA 23139-8066
(804) 378-3223
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024175710
VA
Other
Enumeration date
04/08/2018
Last updated
05/02/2025
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