Individual
KELLY BARNHART WELSTEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
20955 PROFESSIONAL PLZ, STE 200, ASHBURN, VA 20147-3405
(703) 729-7652
(703) 729-8746
Mailing address
20955 PROFESSIONAL PLZ, STE 200, ASHBURN, VA 20147-3405
(703) 729-7652
(703) 729-8746
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0024165368
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7793871
—
VA
Enumeration date
08/31/2005
Last updated
07/08/2007
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