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KELLY COLLABORATIVE MEDICINE
NPI 1639521966
Internal Medicine in Silver Spring, MD

Active since July 11, 2016CLIA 21D2125201 · Waiver
10801 LOCKWOOD DR, SUITE 210, SILVER SPRING, MD 20901(301) 298-1040(844) 288-6896 Get Directions Write a Review

NPPES record last updated: August 24, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 24, 2016, Jul 11, 2016 (2 updates tracked since 2016).

About Kelly Collaborative Medicine NPPES

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

KELLY COLLABORATIVE MEDICINE (NPI 1639521966) is a healthcare organization registered as an internal medicine in Silver Spring, Maryland and active in the NPI registry since July 2016. The organization holds a CLIA Waiver certificate valid through February 1, 2027 and lists Kathryn Delores Garrett Kelly, Owner, as its authorized official.

NPPES Registry Identity

NPI1639521966
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameKATHRYN D. KELLY, MD, PC
Location Address10801 LOCKWOOD DR, SUITE 210Silver Spring, MD 20901-1556
Mailing Address10801 Lockwood Dr, Suite 210Silver Spring, MD 20901-1556 · (301) 298-1040 · Fax (844) 288-6896
Phone(301) 298-1040
Fax(844) 288-6896
Organization SubpartNo
Authorized OfficialKathryn Delores Garrett KellyOwner · (202) 549-9557
Enumeration DateJuly 11, 2016
Last NPPES UpdateAugust 24, 20162 updates tracked since enumeration
✔ NPI 1639521966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MD · D0076087
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
10801 LOCKWOOD DR, Silver Spring, MD 20901
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Other Names 1

Doing Business AsKelly Collaborative Medicine

CLIA Laboratory Certificates CMS CLIA

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 21D2125201

Kathryn D Kelly MD PC Dba Kelly Collaborative Med · Silver Spring, MD
Active · expires Feb 1, 2027
CLIA Number21D2125201
Laboratory TypeMobile Laboratory
Certificate Effective DateFebruary 2, 2025
Certificate Expiration DateFebruary 1, 2027
Laboratory DirectorKathryn Kelly
Laboratory Phone(301) 298-1040
Laboratory LocationKathryn D Kelly MD PC Dba Kelly Collaborative Med10801 Lockwood Drive, Suite 160, Silver Spring, MD 20901
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KELLY ANN MERCADO CRNP
Nurse Practitioner (Family)
10801 LOCKWOOD DR, SUITE 200
SILVER SPRING, MD 20901
Montgomery County (301) 593-2002
VERA OGEMBO FNP-C
Nurse Practitioner (Family)
10801 LOCKWOOD DR, SUITE 140
SILVER SPRING, MD 20901
Montgomery County (301) 592-1780
DR. MARK HERSHEL EIG M.D.
Internal Medicine
10801 LOCKWOOD DR, STE 280
SILVER SPRING, MD 20901
Montgomery County (301) 592-1220
MARCEL KRYSANTHE EDWARDS-BAYO NP
Nurse Practitioner (Gerontology)
10801 LOCKWOOD DR
SILVER SPRING, MD 20901
Montgomery County (301) 298-1040
DR. JOSEPH JOHN GENOVESE JR. M.D.
Internal Medicine (Gastroenterology)
10801 LOCKWOOD DR, SUITE 200
SILVER SPRING, MD 20901
Montgomery County (301) 593-2002
DR. STEPHEN D. HUMM MD
Internal Medicine (Gastroenterology)
10801 LOCKWOOD DR, SUITE 200
SILVER SPRING, MD 20901
Montgomery County (301) 593-2002
LOCKWOOD AMBULATORY SURGERY CENTER
Clinic/Center (Ambulatory Surgical)
10801 LOCKWOOD DR, SUITE 260
SILVER SPRING, MD 20901
Montgomery County (301) 924-5044
ADELL C. WINLEY P.A.
Physician Assistant
10801 LOCKWOOD DR, SUITE 200
SILVER SPRING, MD 20901
Montgomery County (301) 593-2002

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 Kathryn D. Kelly, MD, PC's NPI number?

The NPI number for Kathryn D. Kelly, MD, PC is 1639521966. It was assigned to this organization in the NPPES registry on July 11, 2016. The provider is doing business as Kelly Collaborative Medicine.

Where is Kathryn D. Kelly, MD, PC located?

Kathryn D. Kelly, MD, PC is located at 10801 Lockwood Dr Suite 210, Silver Spring, MD 20901. The listed phone number is (301) 298-1040.

What is Kathryn D. Kelly, MD, PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Kathryn D. Kelly, MD, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2125201) is associated with this NPI, valid through February 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kathryn D. Kelly, MD, PC was last updated on August 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.