Individual
KELLY KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1595 SPRING HILL RD STE 520, VIENNA, VA 22182-4101
(703) 687-6610
Mailing address
5225 WISCONSIN AVE NW STE 400, WASHINGTON, DC 20015-2055
(202) 363-1010
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD045715
DC
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
04/04/2016
Last updated
09/27/2020
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