Organization
KEITH S KELLY MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH S KELLY MD (PRESIDENT)
(301) 632-6900
Entity
Organization
Contact information
Practice address
7627 LEONARDTOWN RD, SUITE 103A, HUGHESVILLE, MD 20637-3005
(301) 632-6900
(301) 632-6901
Mailing address
7627 LEONARDTOWN RD, SUITE 103A, HUGHESVILLE, MD 20637-3005
(301) 632-6900
(301) 632-6901
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
D0054969
MD
Other
Enumeration date
01/11/2008
Last updated
03/18/2008
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