MEDICARE: CHRISTINE ELISE KEHRLI PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	0110-008210	VA

General Provider Information

NPI Number	:	1033873757
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE ELISE KEHRLI PA-C

Provider Business Mailing Address
First Line	:	2800 S SHIRLINGTON RD FL 11
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22206-3601
Country	:	US
Telephone Number	:	703-769-8449
Fax Number	:

Provider Business Practice Location Address
First Line	:	2800 S SHIRLINGTON RD FL 11
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22206-3601
Country	:	US
Telephone Number	:	703-892-6500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/28/2021
Last Update Date	:	02/12/2026

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