Kelly, Mark Paul

Kelly, Mark Paul is an individual health care provider with primary practice located at 6900 Georgia Ave Nw Walter Reed Army Medical Center, Washington DC 20307-0003. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Kelly, Mark Paul can be contacted via phone (202) 782-0065.

Contact Information

Primary practice address
6900 Georgia Ave Nw Walter Reed Army Medical Center Washington DC 20307-0003
Phone: (202) 782-0065
Fax: (202) 782-7165
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 02200 Maryland
Behavioral Health & Social Service Providers / Clinical 103TC0700X 02200 Maryland

Profile Details

NPI number 1407958325
LBN Legal business name Kelly, Mark Paul
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2006
Last updated Jul 8th, 2007 - about 17 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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