Kelley, Colleen Denise

Kelley, Colleen Denise is an individual health care provider with primary practice located at 11234 Leatherwood Dr , Reston VA 20191-4607. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Kelley, Colleen Denise can be contacted via phone (703) 391-0758.

Contact Information

Primary practice address
11234 Leatherwood Dr Reston VA 20191-4607
Phone: (703) 391-0758
Fax: (703) 391-0758
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0110840732 Virginia

Profile Details

NPI number 1861433088
LBN Legal business name Kelley, Colleen Denise
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Nov 23rd, 2010 - about 16 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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