Kelly, Kristen A
Kelly, Kristen A is an individual health care provider with primary practice located at 5841 S Maryland Ave # Mc6054 , Chicago IL 60637-1443. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases. Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases is her primary health care specialty. Kelly, Kristen A can be contacted via phone (773) 702-6176.Contact Information
Primary practice address
5841 S Maryland Ave # Mc6054
Chicago IL 60637-1443
Phone: (773) 702-6176
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036.166342 | Illinois |
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases | 2080P0208X | 036.166342 | Illinois |
Profile Details
NPI number | 1710516711 |
---|---|
LBN Legal business name | Kelly, Kristen A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 2nd, 2020 |
Last updated | May 5th, 2024 - about 6 months 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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