Individual
SEAN KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1501 MAPLE AVE STE 200, RICHMOND, VA 23226-2553
(804) 285-2300
(804) 418-3062
Mailing address
8100 THREE CHOPT RD RM 119, HENRICO, VA 23229-4837
(804) 527-2800
(804) 420-1075
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
0102207131
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2014
Last updated
09/12/2022
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