JOHN EDWARD KELLY MD PA NPI 1407158850

NPI Information

JOHN EDWARD KELLY MD PA is a family medicine in Rockville, MD. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. JOHN EDWARD KELLY MD PA NPI is 1407158850. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is John Edward Kelly Md Pa.

The provider's business location address is:

2401 RESEARCH BLVD STE 340
ROCKVILLE, MD
ZIP 20850-254
Phone: (301) 212-9200

The provider's authorized official is John Edward Kelly .
The authorized official title is President and has the following contact phone number (301) 212-9200.

The CLIA number assigned to this NPI record is 21D0970883 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/17/2010 and was last updated on 12/15/2010.

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:

Other Identifiers

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

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