Individual
DR. KELSEY JYL FAWCETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3800 RESERVOIR RD NW DEPT OF, WASHINGTON, DC 20007-2113
(202) 444-5437
(202) 444-2961
Mailing address
3800 RESERVOIR RD NW DEPT OF, WASHINGTON, DC 20007-2113
(202) 444-5437
(202) 444-2961
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
279584
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/31/2011
Last updated
11/20/2019
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