Tanenholz, Kelly J

Tanenholz, Kelly J is an individual health care provider with primary practice located at 1201 Seven Locks Rd Ste 111, Rockville MD 20854-2931. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Tanenholz, Kelly J can be contacted via phone (301) 762-5020.

Contact Information

Primary practice address

1201 Seven Locks Rd Ste 111 Rockville MD 20854-2931

Phone: (301) 762-5020

Fax: (301) 294-7569

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Allopathic & Osteopathic Physicians / Internal Medicine	207R00000X	D0058604	Maryland

Profile Details

NPI number	1780688424
LBN Legal business name	Tanenholz, Kelly J
Credentials	Doctor of Medicine (MD)
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Jun 10th, 2005
Last updated	Feb 4th, 2015 - about 9 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

State	Type	Number	Issuer
All States	NPI	1780688424	NPPES
Maryland	MEDICAID	982841900

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