Individual provider · Type 1 NPI

Marie Gayle Kelly, DO

Student in an Organized Health Care Education/Training Program · Lynchburg, VA

NPI number 1295540136 Active · reactivated Aug 12, 2025

Practice location

306 Liberty View Ln
Lynchburg, VA 24502-2291

Call (434) 592-6400 Map

Mailing address

8613 Herons Cove Pl
Tampa, FL 33647-2498

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1295540136

Marie Gayle Kelly, DO's National Provider Identifier is 1295540136, issued on Feb 10, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lynchburg, VA. The record was last updated on Aug 13, 2025.