Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY SHORES JUAREZ, PA-C
ActiveKELLY SHORES JUAREZ, PA-C is a Physician Assistant healthcare provider located in FALLS CHURCH, Virginia. NPI 1326192493 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · FALLS CHURCH, VA
Registration Details
- NPI Number
- 1326192493
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 23, 2007 (19.552341234339 yrs)
- Last Updated
- Jun 16, 2020
- Licenses
-
0110003194 (VA)22892 (CA)0110003194 (VA)
Practice Information
- Address
-
3300 GALLOWS RDFALLS CHURCH, VA, 220423307Browse VA providers · Browse ZIP 22042
- Phone
- 7037764001
- Fax
- 7037767113
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Surgical Physician Assistant
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in FALLS CHURCH, VA
| Name | Credential | NPI |
|---|---|---|
| KEVIN R KUPFERER | MPAS | 1336133164 |
| ELIZABETH TALOTTA | PA | 1548238959 |
| ERIC LARSEN | PA | 1538128632 |
| HOWARD R. NIEMAN | P.A. | 1215997713 |
| MR. WAYNE MILTON JOHNSON II | PA-C | 1144285305 |
| CRAIG DEATLEY | PA | 1184672560 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.