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Individual

DEMETRIUS KELLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
635 EDGEWOOD ST NE APT 724, WASHINGTON, DC 20017-4133
(202) 568-3857
Mailing address
419 LEBAUM ST SE APT 4, WASHINGTON, DC 20032-2614
(202) 749-0376

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Enumeration date
03/21/2026
Last updated
03/21/2026
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