Individual
KELLY TRUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3800 RESERVOIR RD NW, WASHINGTON, DC 20007-2113
(202) 444-2000
Mailing address
8599 CORAL GABLES LN, VIENNA, VA 22182-2306
(321) 436-7449
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN1043599
DC
Other
Enumeration date
09/25/2020
Last updated
09/25/2020
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