Individual
KELLY ANN DONAHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5255 LOUGHBORO RD NW, WASHINGTON, DC 20016-2633
(202) 537-4000
(202) 363-2677
Mailing address
1850 M NWST 750, WASHINGTON, DC 20036-5818
(202) 835-2222
(202) 969-1798
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
RT004717
PA
363AM0700X
Medical Physician Assistant
0110-004647
VA
363AS0400X
Surgical Physician Assistant
Primary
PA031054
DC
Other
Enumeration date
07/30/2014
Last updated
07/19/2015
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