| Kelsey Wilson Pllc | |
|
1900 Reston Metro Plz Fl 6 Reston VA 20190-5218 | |
| (703) 261-9884 | |
| Not Available |
| Full Name | Kelsey Wilson Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1900 Reston Metro Plz Fl 6, Reston, Virginia |
| Authorized Official Name and Position | Kelsey Wilson (CEO) |
| Authorized Official Contact | 7032619884 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelsey Wilson Pllc 9480 Main St # 1189 Fairfax VA 22031-4032 Ph: (703) 261-9884 | Kelsey Wilson Pllc 1900 Reston Metro Plz Fl 6 Reston VA 20190-5218 Ph: (703) 261-9884 |
| NPI Number | 1952286478 |
|---|---|
| Provider Enumeration Date | 08/06/2025 |
| Last Update Date | 08/06/2025 |
| Certification Date | 08/06/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952286478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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