O'Donnell, Kelly

O'Donnell, Kelly is an individual health care provider with primary practice located at 166 Defense Hwy Suite 101, Annapolis MD 21401-8919. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Phlebology. Allopathic & Osteopathic Physicians / Phlebology is her primary health care specialty. O'Donnell, Kelly can be contacted via phone (410) 224-3390.

Contact Information

Primary practice address
166 Defense Hwy Suite 101 Annapolis MD 21401-8919
Phone: (410) 224-3390
Fax: (410) 224-3370
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD32654 District of Columbia
Allopathic & Osteopathic Physicians / Phlebology 202K00000X D0042645 Maryland

Profile Details

NPI number 1619997772
LBN Legal business name O'Donnell, Kelly
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Jun 20th, 2023 - about 2 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 1619997772 NPPES
District of Columbia MEDICAID 027449600
District of Columbia Other 5711193
District of Columbia Other 566739
District of Columbia Other 7016224
District of Columbia Other 212103
District of Columbia Other 3058246001
District of Columbia MEDICAID 234501301
District of Columbia Other 0113
District of Columbia Other 2561122
District of Columbia Other 441777

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