Individual provider · Type 1 NPI

Kelly Ashley Boardman, PA-C

Medical Physician Assistant · Leesburg, VA

NPI number 1821492067 Active

Practice location

19415 Deerfield Ave, Suite 213
Leesburg, VA 20176-8452

Call (703) 729-9220 Map

Fax (703) 858-3529

Mailing address

2623 Puritan Ct
Herndon, VA 20171-2439

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X0110004747 (VA)

Medical Physician Assistant: Definition to come...

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About NPI 1821492067

Kelly Ashley Boardman, PA-C's National Provider Identifier is 1821492067, issued on Oct 17, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Leesburg, VA. The record was last updated on Mar 6, 2024.