NPI 1871957761

Kim a Kelly, M.D., P.C.

Organisation Prevention Professional Suitland, MD

Practice location

Address: 5875 Allentown Rd, Suitland, MD 20746-4570
Phone: (301) 702-2003
Fax: (301) 702-2324

Authorised official

Name: Kim a Kelly
Title: Owner
Phone: (301) 702-2003

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence D0039363 (MD)

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Registry record

NPI: 1871957761
Entity type: Organization
NPI issued: 7 Apr 2016
Record last updated: 4 May 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.