# KIM A KELLY, M.D., P.C.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** KIM A KELLY, M.D., P.C.
- **Other names:** Kim Kelly Peds
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1508685413
- **Legal business name:** KIM A KELLY, M.D., P.C.
- **Authorized official:** DONA BOWIE (OFFICE MANAGER)
- **Authorized official phone:** (301) 751-0090

## Contact information

- **Practice address:** 5873 ALLENTOWN RD, SUITLAND, MD 20746-4570
- **Practice address phone:** (301) 702-2003
- **Practice address fax:** (301) 702-2324
- **Mailing address:** 5875 ALLENTOWN RD, SUITLAND, MD 20746-4570
- **Mailing address phone:** (301) 702-2003
- **Mailing address fax:** (301) 702-2324

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/08/2024
- **Last updated:** 10/08/2024