Individual
DR. KEVIN P. KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1501 DIVISION ST, BALTIMORE, MD 21217-3121
(410) 728-5399
Mailing address
2641 N CHARLES ST, BALTIMORE, MD 21218-4514
(410) 466-5325
(410) 366-9533
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0043878
MD
Other
Enumeration date
05/19/2009
Last updated
05/19/2009
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