Individual
DR. KELLY LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2150 PENNSYLVANIA AVE NW, WASHINGTON, DC 20037-3201
(202) 741-3000
Mailing address
301 SAINT PAUL ST, BALTIMORE, MD 21202-2102
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD
MEDICARE
—
05
—
MD
—
MD
01
—
NA
UPIN
—
Enumeration date
03/30/2018
Last updated
04/25/2024
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