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CYNTHIA S KELLY M.D. NPI 1184663460


NPI Information

NPI: 1184663460
Provider Name: CYNTHIA S KELLY, M.D.
Classification: Pediatrics - 2080P0201X
Entity Type: Individual

Specialization: Pediatric Allergy/Immunology

PECOS Registration: Yes

Address:
601 CHILDRENS LN
NORFOLK, VA
ZIP 23507
Phone: (757) 668-7426
Get Directions

Cynthia S Kelly, M.D. is a pediatric allergy/immunology pediatrics in Norfolk, VA. The provider is a pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children. Cynthia S Kelly, M.D. NPI is 1184663460. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

601 CHILDRENS LN
NORFOLK, VA
ZIP 23507-910
Phone: (757) 668-7426
Fax: (757) 668-7784

The NPI 1184663460 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/5/2006 and was last updated on 12/9/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics0101050897VIRGINIANo
22080P0201XPediatricsPediatric Allergy/Immunology0101050897VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11802398000MEDICAIDWEST VIRGINIA
20000982001MEDICAIDDELAWARE
3890688IMEDICAIDNORTH CAROLINA
41010085990001MEDICAIDPENNSYLVANIA
5030000079MEDICARE ID-TYPE UNSPECIFIEDVIRGINIA
6F84341MEDICARE UPIN
7522500100MEDICAIDMARYLAND
8006722083MEDICAIDVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.