Colingo-Fahlberg, Kelly A
Colingo-Fahlberg, Kelly A is an individual health care provider with primary practice located at 44045 Riverside Pkwy , Leesburg VA 20176-5101. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Anesthesiology, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Colingo-Fahlberg, Kelly A can be contacted via phone (703) 858-6000.Contact Information
Primary practice address
44045 Riverside Pkwy
Leesburg VA 20176-5101
Phone: (703) 858-6000
Fax: (571) 209-6465
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Anesthesiology | 207LP3000X | MD31161 | District of Columbia |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 0101057407 | Virginia |
Profile Details
| NPI number | 1932336245 |
|---|---|
| LBN Legal business name | Colingo-Fahlberg, Kelly A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2009 |
| Last updated | Sep 30th, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932336245 | NPPES |
| Virginia | MEDICAID | 1932336245 |
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