# DR. KELLI LAURA NAYAK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1699755488
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | MD458087 | PA | — |
| 208000000X | Pediatrics Physician | 219067 | MA | — |
| 208000000X | Pediatrics Physician | MD458087 | PA | — |
| 208000000X | Pediatrics Physician | ME106614 | FL | — |
| 2080S0010X | Pediatric Sports Medicine Physician | MD458087 | PA | Yes |

## Other

- **Enumeration date:** 01/19/2006
- **Last updated:** 03/02/2026