Healthcare Provider Details

I. General information

NPI: 1871351619
Provider Name (Legal Business Name): MRS. KALI ELIZABETH HOFFMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/07/2024
Last Update Date: 03/07/2024
Certification Date: 03/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3700 O ST NW
WASHINGTON DC
20057-0003
US

IV. Provider business mailing address

1315 W ST NW APT 569
WASHINGTON DC
20009-6860
US

V. Phone/Fax

Practice location:
  • Phone: 202-687-0100
  • Fax:
Mailing address:
  • Phone: 518-331-7255
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number500008632
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: