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NPI Code Detail

MEDICARE: MARGARET KELLY FNP

MEDICARE: MARGARET KELLY FNP
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
1363LF0000XFamily Nurse Practitioner0024172095VA
2363L00000XNurse Practitioner0024172095VA

General Provider Information

NPI Number : 1730583634
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARGARET KELLY FNP
Provider Business Mailing Address
First Line : 333 W CORK ST UNIT 405
Second Line :
City : WINCHESTER
State : VA
Zip : 22601-3876
Country : US
Telephone Number : 540-313-9200
Fax Number : 540-686-7287
Provider Business Practice Location Address
First Line : 333 W CORK ST UNIT 405
Second Line :
City : WINCHESTER
State : VA
Zip : 22601-3876
Country : US
Telephone Number : 540-313-9200
Fax Number : 540-686-7287
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2014
Last Update Date : 11/26/2025

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