Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly Liesse, MD

Individual provider Pediatrics Physician · NPI 1013458454

Kelly Liesse, MD is a Pediatrics Physician in Washington, District of Columbia. Practices as a sole proprietor. Licensed in California, District of Columbia and Illinois.

Licensed in
CA, DC, IL
In the registry since
2017
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3522 10th St NW
Washington, DC 20010-1480
Phone: (630) 660-0161
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence MD210011400 (DC)
Pediatrics Physician Taxonomy 208000000X · Licence 036.152067 (IL)
Pediatrics Physician Taxonomy 208000000X · Licence A172837 (CA)

Record details

NPI number1013458454
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 18, 2017
Last updated in NPPESAugust 13, 2023
Certification dateAugust 13, 2023

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