Individual
DR. KELLY G KILCOYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
127 LUBRANO DR STE 202, ANNAPOLIS, MD 21401-7369
(410) 544-4263
(855) 394-3899
Mailing address
127 LUBRANO DR STE 202, ANNAPOLIS, MD 21401-7369
(410) 544-4263
(855) 394-3899
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
207X00000X
Orthopaedic Surgery Physician
D75966
MD
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
D75966
MD
Other
Enumeration date
07/05/2007
Last updated
02/05/2025
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