Kelly, Gail Marie

Kelly, Gail Marie is an sole proprietor health care provider with primary practice located at 102 W. Water Street, Suite 1 Nemours Dupont Pediatrics, Dover, Dover DE 19904-6750. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Kelly, Gail Marie can be contacted via phone (302) 651-6212.

Contact Information

Primary practice address
102 W. Water Street, Suite 1 Nemours Dupont Pediatrics, Dover Dover DE 19904-6750
Phone: (302) 651-6212
Fax: (302) 651-4945
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME98073 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X C10010301 Delaware

Profile Details

NPI number 1740484559
LBN Legal business name Kelly, Gail Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2007
Last updated Jun 19th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740484559 NPPES
Delaware Other C10010301 STATE LICENSE
Delaware MEDICAID 278341000 STATE LICENSE

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