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NPI Code Detail

MEDICARE: ERIN KELLY

MEDICARE: ERIN KELLY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist

General Provider Information

NPI Number : 1811460900
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN KELLY
Provider Business Mailing Address
First Line : 106 IRVING ST NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20010-2927
Country : US
Telephone Number : 202-877-3322
Fax Number :
Provider Business Practice Location Address
First Line : 106 IRVING ST NW STE 5000
Second Line :
City : WASHINGTON
State : DC
Zip : 20010-2981
Country : US
Telephone Number : 202-877-3322
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2019
Last Update Date : 05/28/2020

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Directions to “ ERIN KELLY ” Practice Location

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