| NPI | 1639521966 |
|---|---|
| Doing Business As | KELLY COLLABORATIVE MEDICINE |
| Entity Type | Organization |
| Authorized Contact | KATHRYN DELORES GARRETT KELLY Owner 202-549-9557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0076087) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2016-08-24 |