Kelly, Karen Maureen
Kelly, Karen Maureen is an sole proprietor health care provider with primary practice located at 1941 Limestone Rd Suite 206, Wilmington DE 19808-5400. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Kelly, Karen Maureen can be contacted via phone (302) 994-8887.Contact Information
Primary practice address
1941 Limestone Rd Suite 206
Wilmington DE 19808-5400
Phone: (302) 994-8887
Fax: (302) 994-8208
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | C1-0004329 | Delaware |
Profile Details
| NPI number | 1679546444 |
|---|---|
| LBN Legal business name | Kelly, Karen Maureen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 10th, 2006 |
| Last updated | Dec 18th, 2014 - about 12 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 | 1679546444 | NPPES |
| Delaware | MEDICAID | 0000562301 |
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