NPI 1760408066

Kelly Domson, MD

Practitioner Anatomic Pathology & Clinical Pathology Physician Warrenton, VA

Practice location

Address: 500 Hospital Drive, Warrenton, VA 20186
Phone: (703) 257-1440
Fax: (703) 257-4337
Mailing address: 9834 Business Way, Manassas, VA 20110

Registered specialties

Anatomic Pathology & Clinical Pathology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence 0101051240 (VA)

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Registry record

NPI: 1760408066
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Jul 2006
Record last updated: 9 Apr 2014

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.