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NPI Code Detail

MEDICARE: DR. KAREN MAUREEN KELLY M.D.

MEDICARE:  DR. KAREN MAUREEN KELLY  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianC1-0004329DE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1679546444
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KAREN MAUREEN KELLY M.D.
Provider Business Mailing Address
First Line : 1941 LIMESTONE RD
Second Line : SUITE 206
City : WILMINGTON
State : DE
Zip : 19808-5400
Country : US
Telephone Number : 302-994-8887
Fax Number : 302-994-8208
Provider Business Practice Location Address
First Line : 1941 LIMESTONE RD
Second Line : SUITE 206
City : WILMINGTON
State : DE
Zip : 19808-5400
Country : US
Telephone Number : 302-994-8887
Fax Number : 302-994-8208
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2006
Last Update Date : 12/18/2014

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Directions to “ DR. KAREN MAUREEN KELLY M.D.” Practice Location

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