MRS. KELLY BONNER PA-C NPI 1487875381

NPI Information

NPI: 1487875381
Provider Name: MRS. KELLY BONNER, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
2216 PRINCESS ANNE ST
SUITE 204
FREDERICKSBURG, VA
ZIP 22401
Phone: (540) 371-7118
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MRS. Kelly Bonner, PA-C is a medical physician assistant in Fredericksburg, VA. MRS. Kelly Bonner, PA-C NPI is 1487875381. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2216 PRINCESS ANNE ST
SUITE 204
FREDERICKSBURG, VA
ZIP 22401-300
Phone: (540) 371-7118
Fax: (540) 371-3248

The enumeration date for this NPI number is 5/1/2007 and was last updated on 11/7/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	0110002450	VIRGINIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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