Individual
DR. BONNIE L KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
722 YORKLYN RD, SUITE 400, HOCKESSIN, DE 19707-8718
(302) 235-2351
(302) 235-2365
Mailing address
722 YORKLYN RD, SUITE 400, HOCKESSIN, DE 19707-8718
(302) 235-2351
(302) 235-2365
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C10006988
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080132779
RAILROAD MEDICARE
DE
05
—
1000023592
—
DE
Enumeration date
07/19/2005
Last updated
07/09/2008
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