Mathias, Megan Kelley

Mathias, Megan Kelley is an individual health care provider with primary practice located at 8105 Ritchie Hwy , Pasadena MD 21122-3905. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Mathias, Megan Kelley can be contacted via phone (443) 573-0564.

Contact Information

Primary practice address
8105 Ritchie Hwy Pasadena MD 21122-3905
Phone: (443) 573-0564
Fax: (443) 573-0565
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X C0003894 Maryland

Profile Details

NPI number 1396997136
LBN Legal business name Mathias, Megan Kelley
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2008
Last updated Feb 29th, 2024 - about last year

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 1396997136 NPPES
Maryland Other 149619 MEDICARE GROUP PTAN
Maryland Other 945L MEDICARE GROUP PTAN

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