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Individual

TONIA LEE KELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
50 IRVING ST NW, WASHINGTON, DC 20422-0001
(202) 745-8000
Mailing address
2801 CHANDLER CT, MANSFIELD, TX 76063-4268
(443) 807-0507

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
1130602
TX
2084P0804X
Child & Adolescent Psychiatry Physician
1130602
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1130602
TX

Other

Enumeration date
08/04/2023
Last updated
09/10/2023
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