Individual
DR. KELLY EATON GLADIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2010 HEALTH CAMPUS DR, ROCKINGHAM, VA 22801-8679
(540) 689-1110
(540) 689-1119
Mailing address
PO BOX 1430, HARRISONBURG, VA 22803
(540) 689-1110
(540) 689-1119
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
34755
SC
207R00000X
Internal Medicine Physician
LL34755
SC
208M00000X
Hospitalist Physician
Primary
0101262632
VA
208M00000X
Hospitalist Physician
34755
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528321346
—
VA
Enumeration date
06/18/2012
Last updated
08/28/2019
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