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:
Health care specialties
| Specialty | Code | License # | 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 15 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 | 1972571578 | NPPES |
| Florida | MEDICAID | 2618711-00 |
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