Individual
DR. KELLY MCGOVERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
675 HOES LN W, PISCATAWAY, NJ 08854-8021
(301) 325-3673
Mailing address
13601 WAGON WAY, SILVER SPRING, MD 20906-2143
(301) 325-3673
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/27/2020
Last updated
04/27/2020
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