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Contact Information

KELLY M BOLDEN, MD
5301 WISCONSIN AVE NW STE 100
WASHINGTON, DC20015-2070
 Phone: 202-237-9292
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for KELLY M BOLDEN · (Female)

NPI Number 1265616007
Status Active
Credentials MD
Entity Individual
Enumeration date 12/27/2007
Last updated 05/14/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • DC License # MD040080
  • MD License # D0071243
Hospital affiliation(s)
  • HOWARD UNIVERSITY HOSPITAL - (Acute Care)
    2041 GEORGIA AVE NW
    WASHINGTON, DC 20060
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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