Individual
KELLY K JOHNSON-ARBOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3800 RESERVOIR RD NW, BLES BUILDING, FIRST FLOOR, WASHINGTON, DC 20007-2113
(202) 444-3059
(202) 444-2130
Mailing address
3800 RESERVOIR RD NW, BLES BUILDING 1ST FLOOR, WASHINGTON, DC 20007-2113
(202) 444-3059
(202) 444-2130
Taxonomy
Speciality
Code
Description
License number
State
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
Primary
MD043120
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001424472
—
CT
05
—
094517600
—
DC
05
—
954132200
—
MD
Enumeration date
06/13/2006
Last updated
01/23/2019
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