O'Donnell, Kelly
O'Donnell, Kelly is an individual health care provider with primary practice located at 166 Defense Hwy Suite 101, Annapolis MD 21401-8919. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Phlebology. Allopathic & Osteopathic Physicians / Phlebology is her primary health care specialty. O'Donnell, Kelly can be contacted via phone (410) 224-3390.Contact Information
Primary practice address
166 Defense Hwy Suite 101
Annapolis MD 21401-8919
Phone: (410) 224-3390
Fax: (410) 224-3370
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | MD32654 | District of Columbia |
| Allopathic & Osteopathic Physicians / Phlebology | 202K00000X | D0042645 | Maryland |
Profile Details
| NPI number | 1619997772 |
|---|---|
| LBN Legal business name | O'Donnell, Kelly |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2006 |
| Last updated | Jun 20th, 2023 - about 3 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 | 1619997772 | NPPES |
| District of Columbia | MEDICAID | 027449600 | |
| District of Columbia | Other | 5711193 | |
| District of Columbia | Other | 566739 | |
| District of Columbia | Other | 7016224 | |
| District of Columbia | Other | 212103 | |
| District of Columbia | Other | 3058246001 | |
| District of Columbia | MEDICAID | 234501301 | |
| District of Columbia | Other | 0113 | |
| District of Columbia | Other | 2561122 | |
| District of Columbia | Other | 441777 |
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