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Contact Information

KELLY BALLESTEROS BUITRAGO
4242 E WEST HWY APT 708
CHEVY CHASE, MD20815-5951
 Phone: 239-778-5677
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for KELLY BALLESTEROS BUITRAGO · (Female)

NPI # 1871321950
Status Active
Credentials
Entity Individual
Enumeration date 07/22/2024
Last updated 07/22/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MD License # LMSW31051
Hospital affiliation(s) Not Available
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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