Individual
BRYN ELIZABETH KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
110 IRVING ST NW, WASHINGTON, DC 20010-3017
(202) 877-7000
Mailing address
9 AVERSTONE DR E, WASHINGTON CROSSING, PA 18977-1101
(267) 907-5410
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA200001573
DC
Other
Enumeration date
10/25/2022
Last updated
02/01/2023
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