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KIM A KELLY, M.D., P.C.
NPI 1871957761
Prevention Professional in Suitland, MD

Active since April 07, 2016
5875 ALLENTOWN RD, SUITLAND, MD 20746(301) 702-2003(301) 702-2324 Get Directions Write a Review

NPPES record last updated: May 4, 2017. Verified against the NPPES registry weekly; last sync: August 16, 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 1871957761) is a healthcare organization registered as a prevention professional in Suitland, Maryland and active in the NPI registry since April 2016. The organization lists Kim A Kelly, Owner, as its authorized official.

NPPES Registry Identity

NPI1871957761
Entity TypeOrganization
Primary Taxonomy405300000X
Legal Business NameKIM A KELLY, M.D., P.C.
Location Address5875 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 SubpartNo
Authorized OfficialKim A KellyOwner · (301) 702-2003
Enumeration DateApril 7, 2016
Last NPPES UpdateMay 4, 2017
✔ NPI 1871957761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPrevention ProfessionalOther Service Providers
Taxonomy Code405300000X
License✔ Licensed in MD · D0039363
Definition
Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work.
5875 ALLENTOWN RD, Suitland, MD 20746
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Other Identifiers 2

Other44400001MD · Blue Choice
Medicaid048510100MD

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

MRS. NICOLE F ABRAHAM FNP
Nurse Practitioner (Family)
5875 ALLENTOWN RD
SUITLAND, MD 20746
Prince George's County (301) 702-2003
DR. KIM ALEXZENIA KELLY - ROBINSON M.D.
Pediatrics
5875 ALLENTOWN RD
SUITLAND, MD 20746
Prince George's County (301) 702-2003
MR. CURTIS ANNON JOHNSON JR. M.D.
Pediatrics
5875 ALLENTOWN RD
SUITLAND, MD 20746
Prince George's County (301) 702-2003

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 1871957761. It was assigned to this organization in the NPPES registry on April 7, 2016.

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

Kim A Kelly, M.D., P.C. is located at 5875 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 Prevention Professional with taxonomy code 405300000X.

When was this NPI record last updated?

The NPPES record for Kim A Kelly, M.D., P.C. was last updated on May 4, 2017. 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.