Individual provider · Type 1 NPI

Kelley Marie Dasovich Wolff, PA-C

Medical Physician Assistant · Washington, DC

NPI number 1346372729 Active

Practice location

5801 Army Pentagon
Washington, DC 20310-5001

Mailing address

9300 Dewitt Loop
Fort Belvoir, VA 22060-5285

Other practice locations

  • 1 Jarrett White Rd, Tripler Army Medical Center Attn Mchk Qs, Tamc, HI 96859-5001 · (808) 433-2460

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X0110003223 (VA)
Medical Physician Assistant Primary 363AM0700XAMD-290 (HI)

Medical Physician Assistant: Definition to come...

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About NPI 1346372729

Kelley Marie Dasovich Wolff, PA-C's National Provider Identifier is 1346372729, issued on Mar 12, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Washington, DC. The record was last updated on Oct 25, 2023.