Individual
KELLY SULLIVAN MCCRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2916
(202) 476-5000
Mailing address
PO BOX 37215, BALTIMORE, MD 21297-3215
(202) 476-5000
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN1020103
DC
Other
Enumeration date
10/27/2015
Last updated
01/26/2017
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