Individual
BRIDGET FITZGERALD KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3800 RESERVOIR RD NW, WASHINGTON, DC 20007-2113
(202) 444-3450
Mailing address
3800 RESERVOIR RD NW, WASHINGTON, DC 20007-2113
(202) 444-3450
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN1039953
DC
363LF0000X
Family Nurse Practitioner
Primary
NP1039953
DC
Other
Enumeration date
05/26/2021
Last updated
08/30/2021
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