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Contact Information

KIM A KELLY, M.D., P.C.
5875 ALLENTOWN RD
SUITLAND, MD20746-4570
 Phone: 301-702-2003
 Fax: 301-702-2324
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prevention Professional

405300000X
Indicates primary specialty

NPI Profile & details for KIM A KELLY MD PC · (Female)

NPI Number 1871957761
Status Active
Credentials
Entity Individual
Enumeration date 04/07/2016
Last updated 05/04/2017 - About 9 years ago
Sole proprietor 1 Not specified
Identifiers
  • MD License # D0039363
  • MD Medicaid 048510100
  • MD Other 44400001 BLUE CHOICE
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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