Kelly M Clayton
MD | Pediatric Emergency Medicine | Female
Kelly M Clayton, MD is a Hollywood, Florida based Pediatric doctor with medical specialization in
Pediatric Emergency Medicine.
Current practice location of Kelly M Clayton is
1005 Joe Dimaggio Dr, Hollywood, Florida - 33021-5402. She can be contacted on phone at
954-265-3482.
Kelly M Clayton is a sole proprietor of her business.
NPI number (Unique professional ID) for Kelly M Clayton is
1629126149 which was assigned by NPPES on 08 Jan, 2007 and it was last updated on 14 Mar, 2021.
Kelly M Clayton license number is
ME112508 for Pediatrics Pediatric Emergency Medicine (2080P0204X) in Florida.
Kelly M Clayton has special qualifications to manage emergencies in infants and children.
Complete Profile:
Kelly M Clayton basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Emergency Medicine |
|---|
| Provider Name : | Kelly M Clayton |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Kelly M Clayton 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 : | 1005 Joe Dimaggio Dr
Hollywood, FL, 33021-5402
United States |
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| Phone Number : | 954-265-3482 |
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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 : | 1629126149 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 08 Jan, 2007 |
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| Last Updated On : | 14 Mar, 2021 |
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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 Kelly M Clayton are as mentioned. Primary taxonomy code for Kelly M Clayton, MD is
2080P0204X (Pediatrics Pediatric Emergency Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 207P00000X | Emergency Medicine | No | MD.29481 | AL |
| 208000000X | Pediatrics | No | TRN10591 | FL |
| 208000000X | Pediatrics | No | MD.29481 | AL |
| 2080P0204X | Pediatrics Pediatric Emergency Medicine | Yes | ME112508 | FL |
Legacy Identifiers:
Other legacy medical identifiers of Kelly M Clayton such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 515-98422 | Other | AL | BCBS |
| Z01783 | Other | AL | VIVA HEALTH |
| 110400 | MEDICAID | AL | |
| 110372 | MEDICAID | AL | |
| 1629126149 | Other | AL | TRICARE SOUTH |
| 515-98312 | Other | AL | BCBS |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
1600 7TH AVE S,
BIRMINGHAM, AL, 35233-1711
United States | BIRMINGHAM, AL | 205-939-9587 |
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 |
|---|
DIRECT
(Direct Messaging Address) | kclayton87563@MHSDIRECT.NET
| No affiliation | HIE
Health Information Exchange (HIE)
|
| 1005 JOE DIMAGGIO DR,
HOLLYWOOD, FL, 33021-5402
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 : | 1005 Joe Dimaggio Dr
Hollywood, FL, 33021-5402
United States |
|---|
Business Location:
Patients can refer following map for directions to
Kelly M Clayton practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.