Individual
KELLI KARACKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2916
(202) 476-7526
(202) 476-5297
Mailing address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2916
(202) 476-7546
(202) 476-5297
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110-011210
VA
363A00000X
Physician Assistant
Primary
C0006835
MD
363A00000X
Physician Assistant
PA030472
DC
Other
Enumeration date
05/23/2007
Last updated
11/21/2025
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