Shine, Kelly Ann
Shine, Kelly Ann is an individual health care provider with primary practice located at 74 Thomas Johnson Dr , Frederick MD 21702-4300. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Shine, Kelly Ann can be contacted via phone (301) 694-3200.Contact Information
Primary practice address
74 Thomas Johnson Dr
Frederick MD 21702-4300
Phone: (301) 694-3200
Fax: (301) 662-5288
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | D0060209 | Maryland |
Profile Details
| NPI number | 1477522472 |
|---|---|
| LBN Legal business name | Shine, Kelly Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Jul 1st, 2013 - about 11 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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