National Provider Identifier Database

KEITH S KELLY, MD – NPI #1770604043
Gynecology

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.


Contact Information

KEITH S KELLY, MD
11701 LIVINGSTON RD STE 308
FORT WASHINGTON, MD20744-5146
Phone: 301-292-6140
Fax: 240-559-0895
Website:
Specialty Taxonomy Code
* Gynecology 207VG0400X

* Indicates primary specialty

NPI Profile & details for KEITH S KELLY

NPI Number 1770604043
Credentials MD
Entity Individual
Enumeration date 04/03/2007
Last updated 03/28/2024 - About 2 years ago
Sole proprietor1 Yes
Identifiers
  • MD License #: D0054969
  • MD Medicaid: 156002600
Hospital affiliation n/a

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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