Individual
KATHLEEN GRACE CARLYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6405 CHILLUM PL NW, WASHINGTON, DC 20012-2133
(202) 291-3672
(202) 545-0392
Mailing address
8555 16TH ST STE 700, SILVER SPRING, MD 20910-2846
(240) 839-7333
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN67563
DC
Other
Enumeration date
11/05/2019
Last updated
11/05/2019
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