Individual
KELLY KERRIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2916
(888) 884-2327
Mailing address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2916
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
DC
Other
Enumeration date
11/22/2019
Last updated
11/22/2019
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