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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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