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NPI Code Detail

MEDICARE: ASHLEY MARIE KELLY MSN-FNP

MEDICARE: ASHLEY MARIE KELLY MSN-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
1163W00000XRegistered Nurse0001237120VA
2363LF0000XFamily Nurse Practitioner2018007810VA

General Provider Information

NPI Number : 1912498577
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY MARIE KELLY MSN-FNP
Provider Business Mailing Address
First Line : 4901 CARTERSVILLE RD
Second Line :
City : POWHATAN
State : VA
Zip : 23139-3910
Country : US
Telephone Number : 804-617-5006
Fax Number :
Provider Business Practice Location Address
First Line : 804 MOOREFIELD PARK DR STE 201
Second Line :
City : NORTH CHESTERFIELD
State : VA
Zip : 23236-3670
Country : US
Telephone Number : 804-617-5006
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2018
Last Update Date : 09/25/2025

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Directions to “ ASHLEY MARIE KELLY MSN-FNP” Practice Location

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