Maw, Kelli Khinlay

Maw, Kelli Khinlay is an individual health care provider with primary practice located at 300 S Main St , Brooksville FL 34601-3320. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Maw, Kelli Khinlay can be contacted via phone (352) 540-6800.

Contact Information

Primary practice address
300 S Main St Brooksville FL 34601-3320
Phone: (352) 540-6800
Fax: (352) 754-4132
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME 82767 Florida

Profile Details

NPI number 1972571578
LBN Legal business name Maw, Kelli Khinlay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Sep 3rd, 2010 - about 14 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 1972571578 NPPES
Florida MEDICAID 2618711-00

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