| Kelly Ashley Boardman, PA-C | |
|
19415 Deerfield Ave, Suite 213, Leesburg, VA 20176-8452 | |
| (703) 729-9220 | |
| (703) 858-3529 |
| Full Name | Kelly Ashley Boardman |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 19415 Deerfield Ave, Leesburg, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821492067 | NPI | - | NPPES |
| 1821492067 | Medicaid | VA | |
| 30016805880001 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 0110004747 (Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Ashley Boardman, PA-C 2623 Puritan Ct, Herndon, VA 20171-2439 Ph: (404) 326-2826 | Kelly Ashley Boardman, PA-C 19415 Deerfield Ave, Suite 213, Leesburg, VA 20176-8452 Ph: (703) 729-9220 |
Lauren Elizabeth Schaaf, Physician Assistant Medicare: Medicare Enrolled Practice Location: 19415 Deerfield Ave, Suite 213, Leesburg, VA 20176 Phone: 703-729-9220 Fax: 703-858-3529 | |
Monica Gupta Unni, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 44045 Riverside Pkwy, Loudoun Hospital Center, Leesburg, VA 20176 Phone: 703-858-6044 Fax: 703-858-6775 | |
Kristin Marie Kaiser, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 19465 Deerfield Ave Ste 408, Leesburg, VA 20176 Phone: 703-723-6568 | |
Caroline Wade Smith, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 44045 Riverside Pkwy, Leesburg, VA 20176 Phone: 703-858-6044 | |
Mrs. Bess Davina Lawrie O'keeffe, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 19441 Golf Vista Plz Ste 230, Leesburg, VA 20176 Phone: 703-729-3420 | |
Maria Iftikhar, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 19415 Deerfield Ave Suite 213, Leesburg, VA 20176 Phone: 703-729-9220 Fax: 703-858-3529 | |
Alexandra Jean Bache, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 44035 Riverside Pkwy Ste 400, Leesburg, VA 20176 Phone: 703-858-5421 Fax: 703-858-9573 |