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Contact Information

KEVIN T KELLY M D PA
1397 MEDICAL PARK BLVD
SUITE 240
WELLINGTON, FL33414
 Phone: 561-784-3788
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for KEVIN T KELLY M D PA

NPI # 1538363742
LBN Legal business name KEVIN T KELLY M D PA
Authorized official KEVIN KELLY - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 06/12/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
FL License # ME0056260
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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