Individual
KELLY ELIZABETH BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, M.S.
Contact information
Practice address
1701 N GEORGE MASON DR, ARLINGTON, VA 22205-3610
(703) 558-5000
Mailing address
18866 PIER TRAIL DR, TRIANGLE, VA 22172-2348
(301) 938-5204
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110-004705
VA
Other
Enumeration date
11/20/2014
Last updated
04/17/2017
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