Individual
DR. KEITH STEFON KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11701 LIVINGSTON RD STE 308, FORT WASHINGTON, MD 20744-5146
(301) 292-6140
(240) 559-0895
Mailing address
11701 LIVINGSTON RD STE 308, FORT WASHINGTON, MD 20744-5146
(301) 632-6900
(301) 632-6901
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
D0054969
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156002600
—
MD
Enumeration date
04/03/2007
Last updated
03/28/2024
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