Individual
MRS. KATIE ANN KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
6355 WALKER LN STE 411, ALEXANDRIA, VA 22310-3250
(703) 922-4262
Mailing address
702 MASON RD, STEVENSVILLE, MD 21666-2318
(443) 496-2450
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2201001641
VA
Other
Enumeration date
09/14/2017
Last updated
03/17/2018
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