Individual
CATHY KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9950 COURTHOUSE RD, CHARLES CITY, VA 23030-3434
(804) 829-6600
(804) 829-6182
Mailing address
9950 COURTHOUSE RD, CHARLES CITY, VA 23030-3434
(804) 829-6600
(804) 829-6182
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
00024169432
VA
Other
Enumeration date
07/15/2011
Last updated
10/16/2012
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