Kelly, Kathleen P

Kelly, Kathleen P is an individual health care provider with primary practice located at 4320 Seminary Road , Alexandria VA 22304. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as her primary health care specialty. Kelly, Kathleen P can be contacted via phone (703) 504-3066.

Contact Information

Primary practice address
4320 Seminary Road Alexandria VA 22304
Phone: (703) 504-3066
Fax: (703) 504-3866
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 207PP0204X 0101042375 Virginia

Profile Details

NPI number 1851365878
LBN Legal business name Kelly, Kathleen P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated May 25th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1851365878 NPPES
Virginia MEDICAID 010158044

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