Individual provider · Type 1 NPI

Kelly Bonner, PA-C

Medical Physician Assistant · Fredericksburg, VA

NPI number 1487875381 Active

Practice location

2216 Princess Anne St, Suite 204
Fredericksburg, VA 22401-3300

Call (540) 371-7118 Map

Fax (540) 371-3248

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X0110002450 (VA)

Medical Physician Assistant: Definition to come...

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About NPI 1487875381

Kelly Bonner, PA-C's National Provider Identifier is 1487875381, issued on May 1, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fredericksburg, VA. The record was last updated on Nov 7, 2008.