KELLY CARE LLC NPI 1659852580

NPI Information

KELLY CARE, LLC is a primary care nurse practitioner in Bethesda, MD. KELLY CARE, LLC NPI is 1659852580. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Kelly Care.

The provider's business location address is:

4701 SANGAMORE RD STE S207
BETHESDA, MD
ZIP 20816-529
Phone: (202) 684-7167
Fax: (240) 483-0441

The provider's authorized official is Erin Kathleen O'connell .
The authorized official title is Practice Liaison and has the following contact phone number (202) 684-7167.

The CLIA number assigned to this NPI record is 21D2247111 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/28/2018 and was last updated on 8/28/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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