Individual
KELLY W. BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP,APN-CNP
Contact information
Practice address
2150 PENNSYLVANIA AVE NW, WASHINGTON, DC 20037-3201
(301) 467-6711
Mailing address
2150 PENNSYLVANIA AVE NW, WASHINGTON, DC 20037-3201
(301) 467-6711
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.018159
IL
Other
Enumeration date
10/31/2018
Last updated
08/30/2021
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