Provider Demographics
NPI:1083271019
Name:BOYLE, KELSEY AYN (DO)
Entity type:Individual
Prefix:
First Name:KELSEY
Middle Name:AYN
Last Name:BOYLE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:5215 LOUGHBORO RD NW STE 300
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-2626
Mailing Address - Country:US
Mailing Address - Phone:202-537-4400
Mailing Address - Fax:202-537-4440
Practice Address - Street 1:5215 LOUGHBORO RD NW STE 300
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-2626
Practice Address - Country:US
Practice Address - Phone:202-537-4400
Practice Address - Fax:202-537-4440
Is Sole Proprietor?:No
Enumeration Date:2019-05-24
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA10949207Q00000X
MDH0093964207Q00000X
DCDO210001352207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine