Individual
KELLY FEASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
10220 RIVER RD, POTOMAC, MD 20854-4916
(240) 499-8854
Mailing address
1900 S EADS ST APT 505, ARLINGTON, VA 22202-3035
(516) 644-7605
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN1043627
DC
Other
Enumeration date
12/14/2020
Last updated
02/15/2024
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