Search › Virginia › 2255A2300X

Kelly Fickes, ATC

NPI 1821538117 · on the registry since 2017 · sole proprietor

Practice

Address
4231 Monument Wall Way
Apt 453
Fairfax, VA 22030
Phone
(240) 925-1797

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-03-06

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