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Justin Kelly
NPI 1720415060 · on the registry since 2013 · sole proprietor
Practice
- Address
- 9 Windstream Ct
Radford, VA 24141 - Phone
- (540) 250-5857
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-10-01
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