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General NPI Number Information
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NPI Number | 1497345367
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Entity Type | Individual
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Provider Name | KATHRYN MCKELVIE CRNP
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Gender | Female
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Dates
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Enumeration Date | 01/24/2021
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Last Update Date | 01/08/2025
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Provider Practice Location Address
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Address Line | 8575 RIXLEW LN
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City | MANASSAS
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State | VA
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Zip | 20109-3701
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Country | US
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Telephone | 301-593-1315
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Fax |
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Provider Business Mailing Address
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Address Line | 1503 POTOMAC AVE
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City | HAGERSTOWN
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State | MD
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Zip | 21742-2930
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Country | US
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Telephone | 301-733-8515
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R210010
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 0024189786
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License Number State | VA
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