Individual
DR. ANITA KELLY COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
16492 MLC LN, ROCKVILLE, VA 23146-1857
(804) 620-3365
Mailing address
7724 BOGEY PL, GLEN ALLEN, VA 23059-7416
(804) 201-7098
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101257206
VA
207Q00000X
Family Medicine Physician
H2503
TX
Other
Enumeration date
10/29/2014
Last updated
10/29/2014
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