Individual
MACY KINLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3700 RESERVOIR RD NW, WASHINGTON, DC 20007-2111
(202) 687-3118
Mailing address
1400 20TH ST NW APT 812, WASHINGTON, DC 20036-5995
(302) 388-1061
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN232527
MD
Other
Enumeration date
03/01/2024
Last updated
03/01/2024
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