Individual
MRS. KELLY BONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2216 PRINCESS ANNE ST, SUITE 204, FREDERICKSBURG, VA 22401-3300
(540) 371-7118
(540) 371-3248
Mailing address
2216 PRINCESS ANNE ST, SUITE 204, FREDERICKSBURG, VA 22401-3300
(540) 371-7118
(540) 371-3248
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110002450
VA
Other
Enumeration date
05/01/2007
Last updated
11/07/2008
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