Bolden, Kelly Michelle

Bolden, Kelly Michelle is an sole proprietor health care provider with primary practice located at 5301 Wisconsin Ave Nw Ste 100 , Washington DC 20015-2070. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as her primary health care specialty. Bolden, Kelly Michelle can be contacted via phone (202) 237-9292.

Contact Information

Primary practice address
5301 Wisconsin Ave Nw Ste 100 Washington DC 20015-2070
Phone: (202) 237-9292
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X D0071243 Maryland
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X MD040080 District of Columbia

Profile Details

NPI number 1265616007
LBN Legal business name Bolden, Kelly Michelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 27th, 2007
Last updated May 14th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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