Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KEVIN F KELLEY SR., PA-C
ActiveMR. KEVIN F KELLEY SR., PA-C is a Medical Physician Assistant healthcare provider located in INDIAN HEAD, Maryland. NPI 1881654697 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · INDIAN HEAD, MD
Registration Details
- NPI Number
- 1881654697
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 24, 2006 (20.595740724516 yrs)
- Last Updated
- Jul 8, 2007
- License
-
0110840675 (VA)
Practice Information
- Address
-
101 STRAUSS AVECBIRF, 2ND MEFINDIAN HEAD, MD, 206401542Browse MD providers · Browse ZIP 20640
- Phone
- 3017441004
- Fax
- 3017441028
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.