Individual
KELLEY PRADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
13168 CENTERPOINTE WAY, SUITE 101, WOODBRIDGE, VA 22193-5287
(703) 730-2000
Mailing address
500 SW 7TH ST STE A205, RENTON, WA 98057-2983
(703) 590-5999
(703) 590-5399
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110005061
VA
Other
Enumeration date
10/02/2015
Last updated
03/10/2025
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