Kelly, Cynthia S

Kelly, Cynthia S is an individual health care provider with primary practice located at 601 Childrens Ln , Norfolk VA 23507-1910. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology is her primary health care specialty. Kelly, Cynthia S can be contacted via phone (757) 668-7426.

Contact Information

Primary practice address
601 Childrens Ln Norfolk VA 23507-1910
Phone: (757) 668-7426
Fax: (757) 668-7784
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology 2080P0201X 0101050897 Virginia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101050897 Virginia

Profile Details

NPI number 1184663460
LBN Legal business name Kelly, Cynthia S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Dec 9th, 2009 - about 16 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 1184663460 NPPES
North Carolina MEDICAID 890688I
North Carolina MEDICAID 0000982001
North Carolina MEDICAID 522500100
North Carolina MEDICAID 006722083
North Carolina MEDICAID 1010085990001
North Carolina MEDICAID 1802398000

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