Individual
KELLY FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
122 OAK TREE LN, WARRENTON, VA 20186-2164
(434) 327-2250
Mailing address
122 OAK TREE LN, WARRENTON, VA 20186-2164
(434) 327-2250
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/12/2025
Last updated
02/12/2025
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