Kelly, Gail Marie
Kelly, Gail Marie is an sole proprietor health care provider with primary practice located at 102 W. Water Street, Suite 1 Nemours Dupont Pediatrics, Dover, Dover DE 19904-6750. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Kelly, Gail Marie can be contacted via phone (302) 651-6212.Contact Information
Primary practice address
102 W. Water Street, Suite 1 Nemours Dupont Pediatrics, Dover
Dover DE 19904-6750
Phone: (302) 651-6212
Fax: (302) 651-4945
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME98073 | Florida |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | C10010301 | Delaware |
Profile Details
| NPI number | 1740484559 |
|---|---|
| LBN Legal business name | Kelly, Gail Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 14th, 2007 |
| Last updated | Jun 19th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740484559 | NPPES |
| Delaware | Other | C10010301 | STATE LICENSE |
| Delaware | MEDICAID | 278341000 | STATE LICENSE |
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