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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1871957761 | NPPES |
Maryland | MEDICAID | 048510100 | |
Maryland | Other | 44400001 |
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