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Contact Information

KAY P KELLY, MD
25451 MENOMINI CT
WHEATON, IL60189
 Phone: 630-254-5352
 Fax: 630-810-1037
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Attendant Care Provider

3747A0650X
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for KAY P KELLY · (Female)

NPI Number 1427079961
Status Active
Credentials MD
Entity Individual
Enumeration date 07/21/2006
Last updated 09/22/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036-056877
  • IL Medicaid 036-056877
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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