# KATHRYN D. KELLY, MD, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kelly Collaborative Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639521966
- **Authorized official:** DR. KATHRYN DELORES GARRETT KELLY MD (OWNER)
- **Authorized official phone:** (202) 549-9557

## Contact information

- **Practice address:** 10801 LOCKWOOD DR, SUITE 210, SILVER SPRING, MD 20901-1556
- **Practice address phone:** (301) 298-1040
- **Practice address fax:** (844) 288-6896
- **Mailing address:** 10801 LOCKWOOD DR, SUITE 210, SILVER SPRING, MD 20901-1556
- **Mailing address phone:** (301) 298-1040
- **Mailing address fax:** (844) 288-6896

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | D0076087 | MD | Yes |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 07/11/2016
- **Last updated:** 08/24/2016