Individual
CANDACE P KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1520 SLATE CREEK RD STE 201, GRUNDY, VA 24614-6975
(276) 242-2001
(276) 312-8337
Mailing address
PO BOX 390, HUNTINGTON, WV 25708-0390
(304) 429-1088
(304) 429-3109
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024185682
VA
Other
Enumeration date
11/04/2022
Last updated
07/25/2024
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