Individual
DR. KELLY MICHELLE BOLDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5301 WISCONSIN AVE NW STE 100, WASHINGTON, DC 20015-2070
(202) 237-9292
Mailing address
4834 BLAGDEN AVE NW, WASHINGTON, DC 20011-3716
(202) 230-0364
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
D0071243
MD
208200000X
Plastic Surgery Physician
Primary
MD040080
DC
Other
Enumeration date
12/27/2007
Last updated
05/14/2020
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