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DR. KATHLEEN A KELLY MD NPI 1326197302


NPI Information

NPI: 1326197302
Provider Name: DR. KATHLEEN A KELLY, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual

PECOS Registration: Yes

Address:
12255 FAIR LAKES PKWY
FAIRFAX, VA
ZIP 22033
Phone: (703) 934-5700
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DR. Kathleen A Kelly, MD is a pediatrics in Fairfax, VA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Kathleen A Kelly, MD NPI is 1326197302. 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:

12255 FAIR LAKES PKWY
FAIRFAX, VA
ZIP 22033-952
Phone: (703) 934-5700

The NPI 1326197302 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 1/9/2007 and was last updated on 12/20/2022.


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
1207R00000XInternal MedicineD51285MARYLANDNo
2207R00000XInternal Medicine0101054869VIRGINIANo
3207R00000XInternal MedicineMD039430DISTRICT OF COLUMBIANo
4208000000XPediatricsMD039430DISTRICT OF COLUMBIANo
5208000000XPediatricsD51285MARYLANDNo
6208000000XPediatrics0101054869VIRGINIAYes

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.