National Provider Identifier Database

KELLY L GEOGHAN, DPM – NPI #1932100153
Podiatrist

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.


Contact Information

KELLY L GEOGHAN, DPM
1447 YORK ROAD
SUITE 504
LUTHERVILLE, MD21093-6097
Phone: 410-753-4422
Fax: 410-753-4660
Website:
Specialty Taxonomy Code
* Podiatrist 213E00000X

* Indicates primary specialty

NPI Profile & details for KELLY L GEOGHAN

NPI Number 1932100153
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 08/10/2005
Last updated 05/16/2013 - About 13 years ago
Sole proprietor1 Yes
Identifiers
  • MD License #: 01285
  • DC Other: Y410-0001 CAREFIRST
  • MD Other: CDJ4KL 758639-06 CAREFIRST
  • MD Other: CDJ4KL 758639-07 CAREFIRST
  • MD Other: 6614180001 MEDICARE DMEPOS
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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