KATHLEEN A KELLY, MD

NPI: 1326197302 · Individual · Active

Primary Specialty

Pediatrics Physician
Pediatrics

Practice Location

12255 FAIR LAKES PKWY
FAIRFAX, VA 22033-3952 Map ↗
Phone: 703-934-5700

All Specialties & Licenses

  • Pediatrics Physician Primary (license: 0101054869, VA)
  • Internal Medicine Physician (license: MD039430, DC)
  • Pediatrics Physician (license: D51285, MD)
  • Internal Medicine Physician (license: D51285, MD)
  • Internal Medicine Physician (license: 0101054869, VA)
  • Pediatrics Physician (license: MD039430, DC)

HIE Endpoints

  • SOAP: https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq

NPI Registration

Enumerated: 2007-01-09

Last CMS Update: 2022-12-20