Individual
KELLY COLLEEN LOHMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1400 FOREST GLEN RD, STE 330, SILVER SPRING, MD 20910-1459
(301) 905-3600
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE MEDICARE ENROLLMENT, ROCKVILLE, MD 20852-4908
(301) 816-2424
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110003244
VA
363AS0400X
Surgical Physician Assistant
Primary
C0004242
MD
363AS0400X
Surgical Physician Assistant
PA030700
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
220264ZDCT
MEDICARE ID NUMBER
DC
Enumeration date
05/12/2010
Last updated
01/13/2012
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