Individual
DR. KELLY O'CONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4729 FULTON ST, RICHMOND, VA 23231-1211
(804) 728-0748
Mailing address
4729 FULTON ST, RICHMOND, VA 23231-1211
(804) 728-0748
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810008233
VA
Other
Enumeration date
08/24/2023
Last updated
08/28/2023
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