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1861433088
COLLEEN DENISE KELLEY
RESTON, VA
NPI
1861433088
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: VA 0110840732)
Enumeration Date
2006-06-09
Last Update Date
2010-11-23
Business Address
Mrs. COLLEEN DENISE KELLEY PA-C
11234 LEATHERWOOD DR
RESTON, VA 20191-4607
Phone number: 703-391-0758
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Mailing Address
Mrs. COLLEEN DENISE KELLEY PA-C
12255 FAIR LAKES PKWY
FAIRFAX, VA 22033-3952
Phone number: 703-934-5700
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