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KIM A KELLY, M.D., P.C.
NPI 1508685413
Clinic/Center - Urgent Care in Suitland, MD

Active since October 08, 2024CLIA Certified · 2 labs
5873 ALLENTOWN RD, SUITLAND, MD 20746(301) 702-2003(301) 702-2324 Get Directions Write a Review

NPPES record last updated: October 8, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Kim A Kelly, M.d., P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIM A KELLY, M.D., P.C. (NPI 1508685413), doing business as Kim Kelly Peds, is a healthcare organization registered as an urgent care in Suitland, Maryland and active in the NPI registry since October 2024. The organization holds 2 active CLIA laboratory certificates and lists Dona Bowie, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1508685413
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameKIM A KELLY, M.D., P.C.
Location Address5873 ALLENTOWN RDSuitland, MD 20746-4570
Mailing Address5875 Allentown RdSuitland, MD 20746-4570 · (301) 702-2003 · Fax (301) 702-2324
Phone(301) 702-2003
Fax(301) 702-2324
Organization SubpartYes
Authorized OfficialDona BowieOffice Manager · (301) 751-0090
Enumeration DateOctober 8, 2024
NPPES CertifiedOctober 8, 2024
✔ NPI 1508685413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
5873 ALLENTOWN RD, Suitland, MD 20746
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Other Names 1

Doing Business AsKim Kelly Peds

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2095890

Kim A Kelly MD PC · Suitland, MD
Active · expires May 12, 2027
CLIA Number21D2095890
Laboratory TypePhysician Office
Certificate Effective DateMay 13, 2025
Certificate Expiration DateMay 12, 2027
Laboratory DirectorKim A. Kelly-Robinson
Laboratory Phone(301) 702-2003
Laboratory LocationKim A Kelly MD PC5875 Allentown Road, Suitland, MD 20746
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 21D2314378

Kim A Kelly MD PC · Suitland, MD
Active · expires Nov 18, 2026
CLIA Number21D2314378
Laboratory TypePhysician Office
Certificate Effective DateNovember 19, 2024
Certificate Expiration DateNovember 18, 2026
Laboratory DirectorDr. Kim A. Kelly-Robinson
Laboratory Phone(301) 702-2003
Laboratory LocationKim A Kelly MD PC5873 Allentown Rd, Suitland, MD 20746
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kim A Kelly, M.D., P.C.'s NPI number?

The NPI number for Kim A Kelly, M.D., P.C. is 1508685413. It was assigned to this organization in the NPPES registry on October 8, 2024. The provider is doing business as Kim Kelly Peds.

Where is Kim A Kelly, M.D., P.C. located?

Kim A Kelly, M.D., P.C. is located at 5873 Allentown Rd, Suitland, MD 20746. The listed phone number is (301) 702-2003.

What is Kim A Kelly, M.D., P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Does Kim A Kelly, M.D., P.C. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Kim A Kelly, M.D., P.C. was last updated on October 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.