MEDICARE: KELLY L. GEOGHAN D.P.M.

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
1	213E00000X	Podiatrist	01285	MD

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	6614180001	OTHER	MD	MEDICARE DMEPOS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	CDJ4KL 758639-07	OTHER	MD	CAREFIRST
3	CDJ4KL 758639-06	OTHER	MD	CAREFIRST
4	Y410-0001	OTHER	DC	CAREFIRST

General Provider Information

NPI Number	:	1932100153
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELLY L. GEOGHAN D.P.M.

Provider Business Mailing Address
First Line	:	1447 YORK ROAD
Second Line	:	SUITE 504
City	:	LUTHERVILLE
State	:	MD
Zip	:	21093-6097
Country	:	US
Telephone Number	:	410-753-4422
Fax Number	:	410-753-4660

Provider Business Practice Location Address
First Line	:	1447 YORK ROAD
Second Line	:	SUITE 504
City	:	LUTHERVILLE
State	:	MD
Zip	:	21093-6097
Country	:	US
Telephone Number	:	410-753-4422
Fax Number	:	410-753-4660

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2005
Last Update Date	:	05/16/2013

Similar Medicare Providers

1326101510 — JUSTIN COOPER PT
Practice Location Address:

1407 YORK RD , SUITE 100
LUTHERVILLE, MD
21093-6097

Practice Phone: 301-581-8054
Practice Fax: 301-564-0284

1679574214 — WILLIAM STEPHEN SEIPP AU.D.
Practice Location Address:

1407 YORK RD , SUITE 201
LUTHERVILLE, MD
21093-6097

Practice Phone: 410-583-7021
Practice Fax: 410-828-8789

1205837382 — HEARING ASSESSMENT CENTER, INC.
Practice Location Address:

1407 YORK RD , SUITE 201
LUTHERVILLE, MD
21093-6097

Practice Phone: 410-583-7021
Practice Fax: 410-828-8789

1447252382 — JAMES M. MCDONALD AU.D.
Practice Location Address:

1407 YORK RD , SUITE 201
LUTHERVILLE, MD
21093-6097

Practice Phone: 410-583-7021
Practice Fax: 410-828-8789

1992771653 — DR. CHRISTINE BELL LAFFERMAN M.D.
Practice Location Address:

1734 YORK ROAD
LUTHERVILLE, MD
21093-6097

Practice Phone: 410-252-2273
Practice Fax: 410-275-5225

1295763266 — ADONACA BARRETT
Practice Location Address:

1407 YORK RD , SUITE 310
LUTHERVILLE, MD
21093-6097

Practice Phone: 410-825-2281
Practice Fax:

Directions to “ KELLY L. GEOGHAN D.P.M.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.