Kim A Kelly, M.D., P.C.

LBN: Kim A Kelly, M.D., P.C.
Kim A Kelly, M.D., P.C. is an health care organization with primary practice located at 5875 Allentown Rd , Suitland MD 20746-4570. The organization recently has only one registered license in Other Service Providers / Prevention Professional, which is considered as the primary health care specialty. Kim A Kelly, M.D., P.C. can be contacted via phone (301) 702-2003, or through Kelly, Kim A via phone (301) 702-2003.

Contact Information

Primary practice address
5875 Allentown Rd Suitland MD 20746-4570
Phone: (301) 702-2003
Fax: (301) 702-2324
Website:
Map and Directions
Authorized official contact:
Name: Kelly, Kim A Doctor of Medicine (MD)
Phone: (301) 702-2003

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Prevention Professional 405300000X D0039363 Maryland

Profile Details

NPI number 1871957761
LBN Legal business name Kim A Kelly, M.D., P.C.
DBA Doing business as
Authorized official Kelly, Kim A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 7th, 2016
Last updated May 4th, 2017 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871957761 NPPES
Maryland MEDICAID 048510100
Maryland Other 44400001

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