Individual provider · Type 1 NPI

Kelly Russell Burris, NP

Family Nurse Practitioner · Fries, VA

NPI number 1194011007 Active

Practice location

109 Carrol Dr
Fries, VA 24330-4532

Fax (276) 398-3331

Mailing address

PO Box 9
Laurel Fork, VA 24352-0009

Other practice locations

  • 200 Maroon Tide Dr, Galax, VA 24333-4238 · (888) 908-4788
  • 14558 Danville Pike, Laurel Fork, VA 24352-3982 · (276) 398-2292

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X5007750 (NC)
Nurse Practitioner 363L00000X5007750 (NC)
Family Nurse Practitioner Primary 363LF0000X0021469439 (VA)
Nurse Practitioner 363L00000X0024169439 (VA)

Family Nurse Practitioner: Definition to come...

6 other providers at this address

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About NPI 1194011007

Kelly Russell Burris, NP's National Provider Identifier is 1194011007, issued on Jun 20, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fries, VA. The record was last updated on Oct 11, 2025.