Provider Demographics
NPI:1508441908
Name:KELLY, FRANCHESCA (MLA)
Entity Type:Individual
Prefix:
First Name:FRANCHESCA
Middle Name:
Last Name:KELLY
Suffix:
Gender:F
Credentials:MLA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7403 CALICO CT
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22153-1302
Mailing Address - Country:US
Mailing Address - Phone:703-795-0605
Mailing Address - Fax:703-997-3222
Practice Address - Street 1:7403 CALICO CT
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22153-1302
Practice Address - Country:US
Practice Address - Phone:703-795-0605
Practice Address - Fax:703-997-3222
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-17
Last Update Date:2021-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA25584362246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy