Gooch, Kelly Ann

Gooch, Kelly Ann is an individual health care provider with primary practice located at 19500 Sandridge Way Ste 280 , Leesburg VA 20176-3690. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Gooch, Kelly Ann can be contacted via phone (703) 723-1757.

Contact Information

Primary practice address
19500 Sandridge Way Ste 280 Leesburg VA 20176-3690
Phone: (703) 723-1757
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 0001259062 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0024187187 Virginia

Profile Details

NPI number 1477312692
LBN Legal business name Gooch, Kelly Ann
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2024
Last updated Mar 18th, 2024 - about 2 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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