Individual
MRS. KELLY ALLISON THELIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1001 G ST NW STE 200, WASHINGTON, DC 20001-4545
(202) 660-0005
(415) 252-7176
Mailing address
130 SUTTER ST FL 2, SAN FRANCISCO, CA 94104-4009
(202) 660-0005
(202) 660-0025
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110003683
VA
363A00000X
Physician Assistant
C0004602
MD
363A00000X
Physician Assistant
Primary
PA030796
DC
Other
Enumeration date
10/19/2011
Last updated
03/14/2025
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