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
Phone: (786) 624-5955
Fax: (786) 268-1738
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1013901263 | NPPES |
New York | MEDICAID | 02097661 |
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