Provider Demographics
NPI:1629008693
Name:SALLEY, KELSEY ELIZABETH SWANSON (MD)
Entity Type:Individual
Prefix:DR
First Name:KELSEY
Middle Name:ELIZABETH SWANSON
Last Name:SALLEY
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2384 COLONY CROSSING PLACE
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23112
Mailing Address - Country:US
Mailing Address - Phone:804-423-3636
Mailing Address - Fax:804-423-3637
Practice Address - Street 1:2384 COLONY CROSSING PLACE
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23112
Practice Address - Country:US
Practice Address - Phone:804-423-3636
Practice Address - Fax:804-423-3637
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2013-01-23
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Provider Licenses
StateLicense IDTaxonomies
VA0101239008207R00000X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine