Dr. Jenny Lee Kelty
Pediatric Pulmonologist
2730 A Prosperity Avenue
Fairfax
, Virginia 22031-2238
Dr. Jenny Lee Kelty
Pediatric Pulmonologist
2730 A Prosperity Avenue
Fairfax
, Virginia 22031-2238
(703) 289-1414
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About
Features
Specialties
- Pediatric Pulmonologist
Languages spoken
- English
Location
First Address
- Dr. Jenny Lee Kelty
- 2730 B Prosperity Avenue
- Fairfax, VA
- Zip : 22031-2238
- Fax : (703) 289-1414
- Phone : (703) 289-1400
Second Address
- Dr. Jenny Lee Kelty
- 2730 A Prosperity Avenue
- Fairfax, VA
- Zip : 22031-2238
- Fax : (703) 289-1420
- Phone : (703) 289-1410
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0214X | Pediatric Pulmonologist | 0101236840 | VA |
National Provider Identifier
| NPI | 1205893021 |
|---|---|
| Provider Name | Dr. Jenny Lee Kelty |
| First Address | Fairfax, VA 22031-2238 |
| Second Address | Fairfax, VA 22031-2238 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/04/2006 |
| Last Update Date | 05/12/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 010087309 | (05) | VA |
| 0101037762 | (05) | VA |
| 010103789 | (05) | VA |
| 010103797 | (05) | VA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.