Individual
RYAN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4200 WISCONSIN AVE NW, 4TH FLOOR, DEPARTMENT OF PEDIATRICS, WASHINGTON, DC 20016-2143
(202) 243-3400
(202) 243-3234
Mailing address
4200 WISCONSIN AVE NW, WASHINGTON, DC 20016-2143
(202) 444-8882
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101289461
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2023
Last updated
05/07/2026
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