Kelly, Karen Maureen

Kelly, Karen Maureen is an sole proprietor health care provider with primary practice located at 1941 Limestone Rd Suite 206, Wilmington DE 19808-5400. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Kelly, Karen Maureen can be contacted via phone (302) 994-8887.

Contact Information

Primary practice address
1941 Limestone Rd Suite 206 Wilmington DE 19808-5400
Phone: (302) 994-8887
Fax: (302) 994-8208
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X C1-0004329 Delaware

Profile Details

NPI number 1679546444
LBN Legal business name Kelly, Karen Maureen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 10th, 2006
Last updated Dec 18th, 2014 - about 10 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 1679546444 NPPES
Delaware MEDICAID 0000562301

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