Dr. Kathleen A Kelly
MD | Pediatrics | Female
Dr. Kathleen A Kelly, MD is a Fairfax, Virginia based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Kathleen A Kelly is
12255 Fair Lakes Pkwy, Fairfax, Virginia - 22033-3952. She can be contacted on phone at
703-934-5700.
Dr. Kathleen A Kelly is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Kathleen A Kelly is
1326197302 which was assigned by NPPES on 09 Jan, 2007 and it was last updated on 20 Dec, 2022.
Dr. Kathleen A Kelly license number is
0101054869 for Pediatrics (208000000X) in Virginia.
Dr. Kathleen A Kelly is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Kathleen A Kelly basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Dr. Kathleen A Kelly |
|---|
| Credential : | MD |
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| Gender : | Female |
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Business Address:
Dr. Kathleen A Kelly address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 12255 Fair Lakes Pkwy
Fairfax, VA, 22033-3952
United States |
|---|
| Phone Number : | 703-934-5700 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1326197302 |
|---|
| NPI Entity Type : | Individual |
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| First Enrolment Date : | 09 Jan, 2007 |
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| Last Updated On : | 20 Dec, 2022 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kathleen A Kelly are as mentioned. Primary taxonomy code for Dr. Kathleen A Kelly, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 207R00000X | Internal Medicine | No | D51285 | MD |
| 207R00000X | Internal Medicine | No | 0101054869 | VA |
| 207R00000X | Internal Medicine | No | MD039430 | DC |
| 208000000X | Pediatrics | No | MD039430 | DC |
| 208000000X | Pediatrics | No | D51285 | MD |
| 208000000X | Pediatrics | Yes | 0101054869 | VA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Kathleen A Kelly such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 007602K32 | MEDICARE ID-Type Unspecified | | |
| H65235 | MEDICARE UPIN | | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
SOAP
(SOAP URL) | https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq
Carequality | No affiliation | HIE
Health Information Exchange (HIE)
| OTHER
Other
C-CDA | 12255 Fair Lakes Pkwy,
Fairfax, VA, 22033-3952
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2101 E Jefferson St, Kaiser Permanente Medicare Enrollment
Rockville, MD, 20852-4908
United States |
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| Phone Number : | 301-816-2424 |
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Business Location:
Patients can refer following map for directions to
Dr. Kathleen A Kelly practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.