Individual
KELLY WEI WEI KOAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4924 CAMPBELL BLVD, SUITE 200, NOTTINGHAM, MD 21236-5908
(443) 442-2300
(410) 367-2035
Mailing address
4924 CAMPBELL BLVD STE 200, NOTTINGHAM, MD 21236-5914
(443) 442-2300
(410) 367-2035
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
58977
GA
207R00000X
Internal Medicine Physician
Primary
D0082382
MD
208000000X
Pediatrics Physician
58977
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
258827202A
—
GA
01
—
52230109
BC/BS
GA
Enumeration date
04/26/2007
Last updated
05/04/2026
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