Individual
KELLY J STEWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-4001
(703) 776-7113
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(714) 235-6985
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024172794
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710174701
—
VA
Enumeration date
10/03/2007
Last updated
09/30/2022
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