Individual
DR. EDWARD JOSEPH KELLY IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 23RD ST NW, WASHINGTON, DC 20037-2342
(202) 715-4000
Mailing address
900 23RD ST NW, WASHINGTON, DC 20037-2342
(443) 690-6281
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0101279260
VA
Other
Enumeration date
06/26/2019
Last updated
01/27/2024
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