John Edward Kelly MD PA

NPI #1407158850 in Rockville, Maryland

Provider Information

NPI Number: 1407158850
Entity Type: Organization
Organization Name: John Edward Kelly MD PA
Primary Specialty: Family Medicine
Enumeration Date: Nov 17, 2010
Last Updated: Dec 15, 2010

Practice Location

Address: 2401 RESEARCH BLVD STE 340
City: Rockville
State: Maryland
ZIP Code: 20850-6254
Phone: (301) 212-9200

Authorized Official

Name: DR. JOHN EDWARD KELLY, MD
Title: PRESIDENT
Phone: (301) 212-9200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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