Individual
MATTHEW WILLIAM KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4910 VALLEY VIEW BLVD NW, ROANOKE, VA 24012-2040
(540) 265-4210
(540) 265-4219
Mailing address
2000 HEALTH PARK DR FL HP2, BRENTWOOD, TN 37027-4692
(615) 373-7600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102203766
VA
Other
Enumeration date
04/23/2012
Last updated
01/24/2022
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