DR. KEITH STEFON KELLY (NPI# 1770604043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770604043 |
Entity Type | Individual |
Full Name | DR. KEITH STEFON KELLY |
Credential | M.D. |
Practice Address |
7627 Leonardtown Rd Suite 103a Hughesville MD 20637-3005 |
Mailing Address |
11701 Livingston Rd Ste 308 Fort Washington MD 20744-5146 |
Practice Telephone | 3016326900 |
Practice Fax Number | 3016326901 |
Mailing Telephone | 3016326900 |
Mailing Fax Number | 3016326901 |
Enumeration Date | 2007-04-03 |
Last Update Date | 2019-11-18 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
D0054969 | MD | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MD | 156002600 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396856746 | Keith Edward Kelly | Internal Medicine | 1920 Broadway St, Paducah, KY 42001-7106 | 2006-08-31 |
Street Address |
7627 LEONARDTOWN RD SUITE 103A |
City | HUGHESVILLE |
State | MD |
Zip Code | 20637-3005 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184627234 | Chesapeake-potomac Home Health Agency, Inc | Home Health | 7627 Leonardtown Rd, Hughesville, MD 20637-3005 | 2005-05-23 |
1194065425 | Diana Falcone | Physical Therapist | 7627 Leonardtown Rd, Hughesville, MD 20637-3005 | 2013-02-23 |
1912183781 | Keith S Kelly Md PC | Obstetrics & Gynecology | 7627 Leonardtown Rd, Suite 103a, Hughesville, MD 20637-3005 | 2008-01-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396907945 | Umaru Labay-kamara | Psychiatry & Neurology | 14417 Shadow Ridge Ct, Hughesville, MD 20637-2008 | 2008-06-25 |
1790289890 | Umaru Labay-kamara, Md, LLC | Psychiatry & Neurology | 14417 Shadow Ridge Ct, Hughesville, MD 20637-2008 | 2018-03-22 |
1922490051 | Dana Dehetre | Occupational Therapy Assistant | 14840 Haleys Pl, Hughesville, MD 20637-2342 | 2015-02-26 |
1790166015 | Centrepointe Counseling, Inc. | Counselor | 8505 Old Leonardtown Rd, Hughesville, MD 20637-2531 | 2015-06-11 |
1588151138 | Dellcare Senior Services, LLC | In Home Supportive Care | 6824 Barlowe Ct, Hughesville, MD 20637-2614 | 2018-04-19 |
1093328148 | Cerner Health Connections, Inc | Clinic/Center | 15045 Burnt Store Rd, Hughesville, MD 20637-2699 | 2020-08-28 |
1235369117 | Dresslgn A Habtgiorgis | Internal Medicine | 7153 Juliette Low Ln, Hughesville, MD 20637-2701 | 2009-07-25 |
1255874327 | Smac Sport & Spine | Chiropractor | 15851 Campfire Pl, Hughesville, MD 20637-2706 | 2016-11-22 |
1992311013 | Beyond Well Woman & Associates, LLC | Nurse Practitioner | 17224 Teagues Point Rd, Hughesville, MD 20637-2803 | 2020-09-23 |
1649692815 | Trinity Companion Care | Home Health | 16700 Swanson Cove Ct, Hughesville, MD 20637-2804 | 2014-01-07 |
Find all providers in zip 20637 |
Taxonomy Code | 207VG0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912183781 | Keith S Kelly Md PC | Obstetrics & Gynecology | 7627 Leonardtown Rd, Suite 103a, Hughesville, MD 20637-3005 | 2008-01-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356981492 | Affiliated Reproductive Health Clinics Inc | Obstetrics & Gynecology | 10401 Old Georgetown Rd Ste 208, Bethesda, MD 20814-1911 | 2020-01-07 |
1588161269 | Advanced Menstrual Care Center LLC | Obstetrics & Gynecology | 8601 La Salle Rd Ste 104, Towson, MD 21286-2005 | 2018-04-10 |
1811494990 | Anne Arundel Physician Group, LLC | Obstetrics & Gynecology | 403 Purdy St Ste 201, Easton, MD 21601-4059 | 2018-04-06 |
1407218480 | Nancy P Youssefi | Obstetrics & Gynecology | 7350 Van Dusen Rd Ste B20, Laurel, MD 20707-5239 | 2016-03-28 |
1992174221 | Elite Surgical Services, LLC | Obstetrics & Gynecology | 10518 Tanager Ln, Potomac, MD 20854-6315 | 2015-09-16 |
1902298953 | Lisa G Rubin, Md., LLC | Obstetrics & Gynecology | 1122 Kenilworth Dr Ste 401, Towson, MD 21204-2147 | 2015-02-27 |
1114269750 | Ann Peters | Obstetrics & Gynecology | 7600 Osler Dr Ste 200, Baltimore, MD 21204 | 2013-03-21 |
1598025009 | Kristina Torrence | Obstetrics & Gynecology | 1165 Imperial Dr Ste 300, Hagerstown, MD 21740-6556 | 2012-05-18 |
1912298340 | David Mervyn Margulies | Obstetrics & Gynecology | 8231 Bradley Blvd, Bethesda, MD 20817-1911 | 2011-04-19 |
1487967188 | Stanley C Marinoff | Obstetrics & Gynecology | 5600 Wisconsin Ave, 601, Chevy Chase, MD 20815-4405 | 2010-07-22 |
Find all providers with the same taxonomy |
City | HUGHESVILLE |
Zip Code | 20637 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.