Maton, Kelly Maureen

Maton, Kelly Maureen is an individual health care provider with primary practice located at 17615 Sw 97Th Ave , Palmetto Bay FL 33157-5636. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is her primary health care specialty. Maton, Kelly Maureen can be contacted via phone (786) 624-5955.

Contact Information

Primary practice address
17615 Sw 97Th Ave Palmetto Bay FL 33157-5636
Fax: (786) 268-1738
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 218931 New York
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 218931 New York

Profile Details

NPI number 1013901263
LBN Legal business name Maton, Kelly Maureen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2005
Last updated Oct 27th, 2007 - about 17 years 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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Identifiers

StateTypeNumberIssuer
All States NPI 1013901263 NPPES
New York MEDICAID 02097661

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