Kelly Loraine Dauer Pham, MD
Kelly Loraine Dauer Pham, MD is registered under Physical Medicine and Rehabilitation in Vienna, Virginia. Graduated from Georgetown University School of Medicine in 2010, 16 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in District of Columbia, Virginia and Washington.
- Years since qualifying
- 16
- Trained at
- Georgetown University School of Medicine
- Licensed in
- DC, VA, WA
- In the registry since
- 2010
- Specialties on file
- 5
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
8230 Boone Blvd Ste 170Vienna, VA 22182-2621
Phone: (571) 310-2502
Fax: (571) 413-0290
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 4800 Sand Point Way Ne, Seattle, WA 98105-3901 — (206) 987-1766
Specialties & licences
| Pediatric Rehabilitation Medicine Physician (primary) | Taxonomy 2081P0010X · Licence 0101273373 (VA) |
|---|---|
| Physical Medicine & Rehabilitation Physician | Taxonomy 208100000X · Licence 0101273373 (VA) |
| Physical Medicine & Rehabilitation Physician | Taxonomy 208100000X · Licence 185401 (DC) |
| Pediatric Rehabilitation Medicine Physician | Taxonomy 2081P0010X · Licence FE60464961 (WA) |
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1417274689 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | April 28, 2010 |
| Last updated in NPPES | April 13, 2022 |
| Certification date | April 13, 2022 |
Medicare enrollment
| Medicare specialty | PHYSICAL MEDICINE AND REHABILITATION |
|---|---|
| Medical school | GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 2010 (16 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Payments from drug and device companies, 2025
| Food and Beverage | $53 |
|---|
Other providers in Vienna
-
Reach Pediatric Rehab
8229 Boone Blvd Ste 260, Vienna, VA 22182-2661 · (571) 310-2502