Individual
KELLY A LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
200 FARADAY PLZ, WINCHESTER, VA 22603-4669
(866) 934-7450
Mailing address
4600 MONTGOMERY RD STE 400, CINCINNATI, OH 45212-2600
(513) 873-1269
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024184917
VA
363LF0000X
Family Nurse Practitioner
Primary
0024184917
VA
363LF0000X
Family Nurse Practitioner
APRN70413-FNP-BC
WV
Other
Enumeration date
12/22/2017
Last updated
09/24/2024
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