Individual
CHELSEA KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
4400 UNIVERSITY DR, FAIRFAX, VA 22030-4422
(740) 312-8152
Mailing address
4400 UNIVERSITY DR, FAIRFAX, VA 22030-4422
(740) 312-8152
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
0126002399
VA
Other
Enumeration date
03/18/2016
Last updated
03/18/2016
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