Individual
KIMBERLY RENEE KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
8622 CHASE GLEN CIR, FAIRFAX STATION, VA 22039-3303
(337) 353-3026
Mailing address
8622 CHASE GLEN CIR, FAIRFAX STATION, VA 22039-3303
(337) 353-3026
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
NP500016390
DC
Other
Enumeration date
06/02/2025
Last updated
10/28/2025
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