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Individual

KELLY DEWYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2150 PENNSYLVANIA AVE NW, WASHINGTON, DC 20037-3201
(202) 677-6903
Mailing address
2079 DANIEL STUART SQ, WOODBRIDGE, VA 22191-3317
(703) 491-5600
(703) 491-1744

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
0024172968
VA
363L00000X
Nurse Practitioner
Primary
NP1025366
DC

Other

Enumeration date
10/03/2015
Last updated
11/30/2022
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