Individual
JOHN D KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1310 SOUTHERN AVE SE, WASHINGTON, DC 20032-4699
(202) 574-6000
Mailing address
1621 S ST NW, #3, WASHINGTON, DC 20009-6445
(202) 234-8299
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD33568
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CS0212562
CDS
DC
Enumeration date
05/12/2006
Last updated
03/07/2023
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