| NPI | 1508685413 |
|---|---|
| Doing Business As | KIM KELLY PEDS |
| Entity Type | Organization |
| Authorized Contact | DONA BOWIE Office Manager 301-751-0090 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2024-10-08 |
| Last Update Date | 2024-10-08 |