Individual
DR. KELLY M RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20905 PROFESSIONAL PLZ, STE 330, ASHBURN, VA 20147-7783
(703) 726-0003
(703) 726-6444
Mailing address
950N GLEBE RD 4000, ARLINGTON, VA 22203-1824
(571) 295-7514
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101231491
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05647096
—
VA
01
—
P00010206
RR MEDICARE
—
Enumeration date
08/30/2005
Last updated
10/18/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us