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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 Specialty Code Provider Type

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for KEITH S KELLY · (Male)

NPI # 1770604043
Status Active
Credentials MD
Entity Individual
Enumeration date 04/03/2007
Last updated 03/28/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • MD License # D0054969
  • MD Medicaid 156002600
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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