Individual
DR. KERRY WILLIAMS ELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13540 HULL STREET RD, ST. FRANCIS FAMILY MEDICINE, MIDLOTHIAN, VA 23112-2107
(804) 739-6142
(804) 739-8923
Mailing address
13540 HULL STREET RD, ST. FRANCIS FAMILY MEDICINE, MIDLOTHIAN, VA 23112-2107
(804) 739-6142
(804) 739-8923
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101243698
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C06695
GROUP PTAN
VA
01
—
C09633
GROUP PTAN
VA
Enumeration date
07/29/2008
Last updated
06/26/2009
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