Individual
KELLY M CLAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1005 JOE DIMAGGIO DR, HOLLYWOOD, FL 33021-5402
(954) 265-3482
Mailing address
1005 JOE DIMAGGIO DR, HOLLYWOOD, FL 33021-5402
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD.29481
AL
208000000X
Pediatrics Physician
MD.29481
AL
208000000X
Pediatrics Physician
TRN10591
FL
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
ME112508
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110372
—
AL
05
—
110400
—
AL
01
—
1629126149
TRICARE SOUTH
AL
01
—
515-98312
BCBS
AL
01
—
515-98422
BCBS
AL
01
—
Z01783
VIVA HEALTH
AL
Enumeration date
01/08/2007
Last updated
03/14/2021
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