Juarez, Kelly Shores

Juarez, Kelly Shores is an individual health care provider with primary practice located at 3300 Gallows Rd , Falls Church VA 22042-3307. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Juarez, Kelly Shores can be contacted via phone (703) 776-4001.

Contact Information

Primary practice address
3300 Gallows Rd Falls Church VA 22042-3307
Phone: (703) 776-4001
Fax: (703) 776-7113
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 0110003194 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 22892 California
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110003194 Virginia

Profile Details

NPI number 1326192493
LBN Legal business name Juarez, Kelly Shores
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated Jun 16th, 2020 - about 4 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.

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