Individual
MS. KYLIE JANE GRAVATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3800 RESERVOIR RD NW, WASHINGTON, DC 20007-2113
(202) 444-3700
Mailing address
3800 RESERVOIR RD NW, WASHINGTON, DC 20007-2113
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA200001348
DC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/11/2021
Last updated
10/22/2022
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