Individual
DR. GREGORY B KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4924 CAMPBELL BOULEVARD, WHITE MARSH, MD 21236
(443) 442-2300
(443) 442-2360
Mailing address
3100 WYMAN PARK DRIVE, SUITE 359A, BALTIMORE, MD 21211
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D21242
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
367271900
—
MD
Enumeration date
10/24/2006
Last updated
05/09/2013
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