Individual
KELLY DISTASIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1701 N GEORGE MASON DR, ARLINGTON, VA 22205-3610
(703) 248-0111
Mailing address
1701 N GEORGE MASON DR, ARLINGTON, VA 22205-3610
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110011392
VA
Other
Enumeration date
06/18/2024
Last updated
02/23/2026
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