Individual
DR. LAWRENCE F.X. KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11445 SUNSET HILLS RD, RESTON, VA 20190-5276
(703) 709-1600
Mailing address
223 FALCON RIDGE RD, GREAT FALLS, VA 22066-3518
(703) 759-5737
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101020841
VA
Other
Enumeration date
07/07/2008
Last updated
07/07/2008
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