Kelly Joedicke, O.D

NPI 1578682977 · on the registry since 2007

Practice

Address: 3910 Centreville Rd
#100
Chantilly, VA 20151
Phone: (703) 830-6380
Fax: (703) 263-2441
Organisation at this address: Moa Mid-Atlantic Llc
Chantilly Dentist Pc
Eye Street Optical Inc
Nova Neuro Brain Center
Robert M. Allen, Od, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 11

Registry record

Primary taxonomy: 152WC0802X
152WC0802X
Licence states on file: VA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia