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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 Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for KELLY L GEOGHAN · (Female)

NPI # 1932100153
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 08/10/2005
Last updated 05/16/2013 - About 13 years ago
Sole proprietor 1 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(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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