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

SpecialtyCodeLicense #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

StateTypeNumberIssuer
All States NPI 1780688424 NPPES
Maryland MEDICAID 982841900

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