Individual
DR. MARK D KELEMEN
Active
Individual
DR. MARK D KELEMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
D45643
MD
207RI0011X
Interventional Cardiology Physician
D45643
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037572100
—
DC
05
—
157011100
—
MD
05
—
1902850548
—
DE
05
—
3810000258
—
WV
01
—
532666-09
BLUE CROSS/BLUE SHIELD
MD
Enumeration date
05/19/2006
Last updated
11/03/2010
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