Maples, Kelly M

Maples, Kelly M is an individual health care provider with primary practice located at 300 Riverview Ave Suite 301, Norfolk VA 23510. She recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as her primary health care specialty. Maples, Kelly M can be contacted via phone (757) 668-8255.

Contact Information

Primary practice address
300 Riverview Ave Suite 301 Norfolk VA 23510
Phone: (757) 668-8255
Fax: (757) 668-9444
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X 0101237473 Virginia

Profile Details

NPI number 1649243031
LBN Legal business name Maples, Kelly M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Feb 26th, 2019 - about 7 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 1649243031 NPPES
Virginia MEDICAID 010134986
Virginia Other 7692114
Virginia Other 178379

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