Individual
DR. MARK PAUL KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
6900 GEORGIA AVE NW, WALTER REED ARMY MEDICAL CENTER, WASHINGTON, DC 20307-0003
(202) 782-0065
(202) 782-7165
Mailing address
11 STONY MEADOW CT, LUTHERVILLE, MD 21093-4532
(410) 409-8890
(202) 752-7165
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
02200
MD
103TC0700X
Clinical Psychologist
Primary
02200
MD
Other
Enumeration date
09/01/2006
Last updated
09/11/2025
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