Individual
KELLY ANYE MIYANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1818 NEW YORK AVE NE STE 110, WASHINGTON, DC 20002-1849
(202) 489-0615
(202) 379-9220
Mailing address
2041 MARTIN LUTHER KING JR AVE SE STE M1, WASHINGTON, DC 20020-7004
(202) 610-9560
(202) 610-9561
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN1049566
DC
Other
Enumeration date
05/11/2012
Last updated
12/08/2023
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