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Individual

MR. SEAN THOMAS KELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN, AGACNP-BC

Contact information

Practice address
1880 AMHERST STREET, SUITE 310, WINCHESTER, VA 22601
(540) 536-6721
(540) 536-6724
Mailing address
220 CAMPUS BLVD STE 320, WINCHESTER, VA 22601-2889
(540) 536-5100
(540) 536-0235

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
APRN11011587
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
0024195677
VA
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11011587
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OTHT1
BCBS
FL
Enumeration date
02/24/2021
Last updated
02/04/2026
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