Kelly, Gregory B
Kelly, Gregory B is an individual health care provider with primary practice located at 4924 Campbell Boulevard , White Marsh MD 21236. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kelly, Gregory B can be contacted via phone (443) 442-2300.Contact Information
Primary practice address
4924 Campbell Boulevard
White Marsh MD 21236
Phone: (443) 442-2300
Fax: (443) 442-2360
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | D21242 | Maryland |
Profile Details
| NPI number | 1235213851 |
|---|---|
| LBN Legal business name | Kelly, Gregory B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 24th, 2006 |
| Last updated | May 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235213851 | NPPES |
| Maryland | MEDICAID | 367271900 |
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