Individual
DR. KELLY DOMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 HOSPITAL DRIVE, WARRENTON, VA 20186
(703) 257-1440
(703) 257-4337
Mailing address
9834 BUSINESS WAY, MANASSAS, VA 20110
(703) 257-1440
(703) 257-4337
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0101051240
VA
Other
Enumeration date
07/14/2006
Last updated
04/09/2014
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