Kelly, Bonnie L

Kelly, Bonnie L is an individual health care provider with primary practice located at 722 Yorklyn Rd Suite 400, Hockessin DE 19707-8718. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Kelly, Bonnie L can be contacted via phone (302) 235-2351.

Contact Information

Primary practice address
722 Yorklyn Rd Suite 400 Hockessin DE 19707-8718
Fax: (302) 235-2365
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C10006988 Delaware

Profile Details

NPI number 1891794186
LBN Legal business name Kelly, Bonnie L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Jul 9th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891794186 NPPES
Delaware MEDICAID 1000023592
Delaware Other 080132779

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