Smaldore, Kellie Bobbitt
Smaldore, Kellie Bobbitt is an individual health care provider with primary practice located at 2227 Old Emmorton Rd Ste 218 , Bel Air MD 21015-6189. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Smaldore, Kellie Bobbitt can be contacted via phone (443) 371-4940.Contact Information
Primary practice address
2227 Old Emmorton Rd Ste 218
Bel Air MD 21015-6189
Phone: (443) 371-4940
Fax: (443) 371-4941
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | H40582 | Maryland |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | H0040582 | Maryland |
Profile Details
| NPI number | 1356335095 |
|---|---|
| LBN Legal business name | Smaldore, Kellie Bobbitt |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 8th, 2005 |
| Last updated | Feb 8th, 2023 - about last year |
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 | 1356335095 | NPPES |
| Maryland | Other | 199L | MEDICARE GROUP |
| Maryland | MEDICAID | 348681800 | MEDICARE GROUP |
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