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MRS. KELLEY BRYAN LPN
NPI 1629506589
Licensed Practical Nurse in Chantilly, VA

Active since May 23, 2017
14121 PARKE LONG CT, CHANTILLY, VA 20151(904) 521-4629 Get Directions Write a Review

NPPES record last updated: May 23, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Kelley Bryan Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KELLEY BRYAN LPN (NPI 1629506589) is an individual licensed practical nurse in Chantilly, Virginia, licensed in Virginia (0002088968) and active in the NPI registry since May 2017.

NPPES Registry Identity

NPI1629506589
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMRS. KELLEY BRYANCredential: LPN
Location Address14121 PARKE LONG CTChantilly, VA 20151-1647
Mailing Address14121 Parke Long CtChantilly, VA 20151-1647 · (904) 521-4629
Phone(904) 521-4629
Sole ProprietorYes
Enumeration DateMay 23, 2017
✔ NPI 1629506589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in VA · 0002088968
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
14121 PARKE LONG CT, Chantilly, VA 20151
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BINDHU AICKARETH FNP-C
Nurse Practitioner (Family)
14121 PARKE LONG CT
CHANTILLY, VA 20151
Fairfax County (281) 827-7304
STACYE DICK GNP-BC
Nurse Practitioner (Gerontology)
14121 PARKE LONG CT, SUITE 200 & 201
CHANTILLY, VA 20151
Fairfax County (571) 449-3585
CAMILLE RICHARDS
Registered Nurse (Case Management)
14121 PARKE LONG CT, SUITE 201
CHANTILLY, VA 20151
Fairfax County (571) 446-3780
MARY BETH VALEK BERGMAN CNP
Nurse Practitioner (Gerontology)
14121 PARKE LONG CT, SUITE 201
CHANTILLY, VA 20151
Fairfax County (440) 503-8519
REGAN HOWE
Nurse Practitioner (Family)
14121 PARKE LONG CT, SUITE 201
CHANTILLY, VA 20151
Fairfax County (571) 287-2403
MARIE FUANYA
Nurse Practitioner (Family)
14121 PARKE LONG CT
CHANTILLY, VA 20151
Fairfax County (703) 592-2471
ANGELA S GOODSON-ACEVEDO
Nurse Practitioner (Family)
14121 PARKE LONG CT
CHANTILLY, VA 20151
Fairfax County (571) 449-3585
CYNTHIA LORRAINE ORNER CNP
Nurse Practitioner (Family)
14121 PARKE LONG CT
CHANTILLY, VA 20151
Fairfax County (855) 247-1940

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelley Bryan's NPI number?

The NPI number for Kelley Bryan is 1629506589. It was assigned to this individual provider in the NPPES registry on May 23, 2017.

Where is Kelley Bryan located?

Kelley Bryan practices at 14121 Parke Long Ct, Chantilly, VA 20151. The listed phone number is (904) 521-4629.

What is Kelley Bryan's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Kelley Bryan was last updated on May 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.