Individual
DR. DANIEL R KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 RANDOLPH ST STE 120, RADFORD, VA 24141-3047
(540) 731-3200
(540) 639-1048
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
(540) 224-5516
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101-039704
VA
207Q00000X
Family Medicine Physician
Primary
0101039704
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010299268
—
VA
05
—
5623502
—
VA
Enumeration date
11/10/2005
Last updated
04/23/2026
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