Individual
DR. SUSAN A KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 S MAIN ST, SUITE 215, SMYRNA, DE 19977-1477
(302) 659-4520
(302) 659-4525
Mailing address
100 S MAIN ST, SUITE 215, SMYRNA, DE 19977-1477
(302) 659-4520
(302) 659-4525
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
C10004427
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001017201
—
DE
Enumeration date
05/26/2006
Last updated
01/28/2013
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