Individual
KELLY MICHELLE MEEHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6501 LOISDALE CT, SPRINGFIELD, VA 22150-1826
(703) 922-1000
Mailing address
309 RUCKER PL, ALEXANDRIA, VA 22301-2521
(703) 922-1000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0101253473
VA
208600000X
Surgery Physician
Primary
062571
GA
208600000X
Surgery Physician
D0084668
MD
208600000X
Surgery Physician
MD045780
DC
Other
Enumeration date
12/23/2007
Last updated
06/01/2021
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