Individual
DR. KATHLEEN S. KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
498 UNIVERSITY BLVD, SUITE F, HARRISONBURG, VA 22801
(540) 432-1700
Mailing address
498 UNIVERSITY BLVD, SUITE F, HARRISONBURG, VA 22801
(540) 432-1700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101045174
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010187257
—
VA
01
—
1000870001
DME PROVIDER
VA
01
—
1528917
CIGNA
VA
01
—
190072
ANTHEM/BCBS
VA
01
—
20552
OPTIMA
VA
01
—
329798
SOUTHERN HEALTH
—
01
—
3810003016
WV MEDICAID
—
Enumeration date
04/18/2006
Last updated
09/16/2009
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