Individual
KELLI LINICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
548 BLUE RIDGE AVE, BEDFORD, VA 24523-2604
(540) 586-4723
Mailing address
548 BLUE RIDGE AVE, BEDFORD, VA 24523-2604
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101-052921
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005627206
—
VA
05
—
5627214
—
VA
05
—
5637988
—
VA
Enumeration date
02/10/2006
Last updated
01/21/2016
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