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Contact Information

KELLEY P REDBORD, MD
243 CHURCH ST NW
SUITE 200-C
VIENNA, VA22180-4434
 Phone: 703-938-5700
 Fax: 703-938-4467
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
 

MOHS-Micrographic Surgery

207ND0101X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for KELLEY P REDBORD · (Female)

NPI # 1134252455
Status Active
Credentials MD
Entity Individual
Enumeration date 03/14/2007
Last updated 03/28/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • VA License # 0101241641
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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