Individual
MS. ERMA F KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., CCC-SLP, ED.S
Contact information
Practice address
4948 WHITE OAK PL, SANDSTON, VA 23150-5467
(804) 399-5832
Mailing address
4948 WHITE OAK PL, SANDSTON, VA 23150-5467
(804) 399-5832
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202000531
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
208312
ANTHEM BLUE CROSS/BLUE SH
VA
Enumeration date
08/22/2007
Last updated
08/22/2007
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