Individual
DR. KELLY E KNOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3800 RESERVOIR RD NW DEPT OF, WASHINGTON, DC 20007-2113
(202) 444-8525
(877) 245-1499
Mailing address
3800 RESERVOIR RD NW, WASHINGTON, DC 20007-2113
(865) 773-2167
Taxonomy
Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
Primary
99915
GA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/28/2020
Last updated
05/14/2026
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