Individual
KELLY M STRICKLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
86 HARRIS RD, KILMARNOCK, VA 22482-3845
(804) 435-2651
Mailing address
86 HARRIS RD, KILMARNOCK, VA 22482-3845
(804) 435-2651
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110004353
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7010140
—
RI
Enumeration date
07/07/2005
Last updated
03/06/2014
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