Kelly Distasio
Kelly Distasio is a Physician Assistant in Arlington, Virginia. Qualified in 2025, 1 year ago. Accepts Medicare assignment. Licensed in Virginia.
- Years since qualifying
- 1
- Licensed in
- VA
- In the registry since
- 2024
Practice location Address checks out
1701 N George Mason DrArlington, VA 22205-3610
Phone: (703) 248-0111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 0110011392 (VA) |
|---|
Record details
| NPI number | 1801639554 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 18, 2024 |
| Last updated in NPPES | February 23, 2026 |
| Certification date | February 23, 2026 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2025 (1 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
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