Healthcare Provider Details

I. General information

NPI: 1225783129
Provider Name (Legal Business Name): KELLEY FINNEGAN RICHARDSON CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/18/2022
Last Update Date: 02/18/2022
Certification Date: 02/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 IRVING ST NW STE 4400
WASHINGTON DC
20010-2973
US

IV. Provider business mailing address

2504 S ARLINGTON MILL DR APT C
ARLINGTON VA
22206-4028
US

V. Phone/Fax

Practice location:
  • Phone: 202-877-2303
  • Fax:
Mailing address:
  • Phone: 571-217-3154
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: