Individual
MR. RICHARD LANCE KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPT,ATC
Contact information
Practice address
1120 20TH ST NW, WASHINGTON, DC 20036
(202) 416-2110
Mailing address
15945 PAYNES FARM DR, RICHARD.L.KELLY@MEDSTAR.NET, HAYMARKET, VA 20169-3406
(706) 593-7719
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
871829
DC
225100000X
Physical Therapist
6446
GA
Other
Enumeration date
06/12/2006
Last updated
08/13/2025
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