Individual
DONNA KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11438 LOCKWOOD DR APT 402, SILVER SPRING, MD 20904-2662
(202) 498-5131
Mailing address
11438 LOCKWOOD DR APT 402, SILVER SPRING, MD 20904-2662
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/31/2017
Last updated
03/31/2017
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