Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly Loraine Dauer Pham, MD

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1417274689

Kelly Loraine Dauer Pham, MD is a 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.

See every abbreviation used in this directory →

Practice location Address checks out

8230 Boone Blvd Ste 170
Vienna, VA 22182-2621
Phone: (571) 310-2502
Fax: (571) 413-0290
Show map & directions

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 number1417274689
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 28, 2010
Last updated in NPPESApril 13, 2022
Certification dateApril 13, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolGEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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