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General NPI Number Information
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NPI Number | 1912498577
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Entity Type | Individual
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Provider Name | ASHLEY MARIE KELLY MSN-FNP
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Gender | Female
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Dates
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Enumeration Date | 05/19/2018
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 804 MOOREFIELD PARK DR STE 201
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23236-3670
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Country | US
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Telephone | 804-617-5006
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Fax |
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Provider Business Mailing Address
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Address Line | 4901 CARTERSVILLE RD
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City | POWHATAN
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State | VA
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Zip | 23139-3910
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Country | US
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Telephone | 804-617-5006
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 0001237120
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2018007810
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License Number State | VA
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