Individual
KELLY JOAN SHIEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9001 DIGGES RD STE 105, MANASSAS, VA 20110-4414
(703) 369-5000
(703) 369-5003
Mailing address
43006 CENTER ST, CHANTILLY, VA 20152-2035
(571) 228-4695
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110006539
VA
363A00000X
Physician Assistant
—
VA
Other
Enumeration date
05/01/2019
Last updated
07/28/2021
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