1871957761 NPI number — KIM A KELLY, M.D., P.C.

Table of content: (NPI 1871957761)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1871957761 NPI number — KIM A KELLY, M.D., P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
KIM A KELLY, M.D., P.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1871957761
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/04/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5875 ALLENTOWN RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SUITLAND
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20746-4570
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
301-702-2003
Provider Business Mailing Address Fax Number:
301-702-2324

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5875 ALLENTOWN RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SUITLAND
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20746-4570
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-702-2003
Provider Business Practice Location Address Fax Number:
301-702-2324
Provider Enumeration Date:
04/07/2016

Additional Information

Authorized Official

Authorized Official Last Name:
KELLY
Authorized Official First Name:
KIM
Authorized Official Middle Name:
A
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
301-702-2003

Provider Taxonomy Codes

  • Taxonomy code: 405300000X , with the licence number:  D0039363 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 048510100 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 44400001 . This is a "BLUE CHOICE" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".




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