John Edward Kelly Md Pa

LBN: John Edward Kelly Md Pa
John Edward Kelly Md Pa is an health care organization with primary practice located at 2401 Research Blvd Ste 340 , Rockville MD 20850-6254. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. John Edward Kelly Md Pa can be contacted via phone (301) 212-9200, or through Kelly, John Edward via phone (301) 212-9200.

Contact Information

Primary practice address
2401 Research Blvd Ste 340 Rockville MD 20850-6254
Phone: (301) 212-9200
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kelly, John Edward Doctor of Medicine (MD)
Phone: (301) 212-9200

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X D0006349 Maryland

Profile Details

NPI number 1407158850
LBN Legal business name John Edward Kelly Md Pa
DBA Doing business as John Edward Kelly Md Pa
Authorized official Kelly, John Edward Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 17th, 2010
Last updated Dec 15th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407158850 NPPES
Maryland MEDICAID 113251200

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