NPI 1104120393

Parveen Kelly, CPMLM

Practitioner Midwife Bristow, VA

Practice location

Address: 12300 Tanalian Falls Ln, Bristow, VA 20136-2176
Phone: (703) 505-5499

Registered specialties

Midwife Primary

Other Service Providers Taxonomy 176B00000X Licence 0129000059 (VA)

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Registry record

NPI: 1104120393
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Jan 2011
Record last updated: 6 Dec 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.