Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kelly Shores Juarez, PA-C

Individual provider Surgical Physician Assistant · NPI 1326192493

Kelly Shores Juarez, PA-C is a Physician Assistant in Falls Church, Virginia. Graduated from Philadelphia Col of Osteo Med, Sewanee in 2006, 20 years ago. Practices with Inova Health Care Services, a 1,827-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Virginia.

Years since qualifying
20
Trained at
Philadelphia Col of Osteo Med, Sewanee
Licensed in
CA, VA
In the registry since
2007
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3300 Gallows Rd
Falls Church, VA 22042-3307
Phone: (703) 776-4001
Fax: (703) 776-7113
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 300 Pasteur Dr, Stanford, CA 94305-2200 — (650) 725-3282

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110003194 (VA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 0110003194 (VA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 22892 (CA)

Record details

NPI number1326192493
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 23, 2007
Last updated in NPPESJune 16, 2020
Certification dateJune 16, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolPHILADELPHIA COL OF OSTEO MED, SEWANEE
Graduated 2006 (20 years in practice)
Group practice Inova Health Care Services — 1827 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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