Kelsey Ginestro, PA-C
Physician Assistant in Leesburg, VA. Individual provider (NPI-1).
NPI number1164091260
StatusActive
Last updated in NPPESOct 31, 2023
Details
- NPI
- 1164091260
- Entity type
- Individual (NPI-1)
- Name
- Kelsey Ginestro
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 22, 2021
- Certification date
- Oct 31, 2023
- Last updated
- Oct 31, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 0110008371 | VA | Yes |
Other names
- Kelsey Williams (Former Name)
Practice location
19415 Deerfield Avenue, Suite 314Leesburg, VA 20176-8427
Phone 703-723-7171 · Fax 703-723-7176
Mailing address
224-D Cornwall Street, Nw, Suite 403Leesburg, VA 20176-3346
Phone 703-737-6010 · Fax 703-443-8643
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