DR. KELLI KHINLAY MAW M.D.
NPI 1972571578
Family Medicine in Brooksville, FL

Q: What is Kelli Maw's NPI number?

The NPI number for Kelli Maw is 1972571578. It was assigned to this individual provider in the NPPES registry on March 9, 2006. The provider is also known as Dr. Khin Lay Maw M.D..

Q: What is Kelli Maw's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelli Maw was last updated on September 3, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since March 09, 2006

300 S MAIN ST, BROOKSVILLE, FL 34601(352) 540-6800(352) 754-4132 Get Directions Write a Review

NPPES record last updated: September 3, 2010. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Dr. Kelli Khinlay Maw M.d. NPPES

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

DR. KELLI KHINLAY MAW M.D. (NPI 1972571578) is an individual family medicine provider in Brooksville, Florida, licensed in Florida (ME 82767) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1972571578

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. KELLI KHINLAY MAWCredential: M.D.

Location Address300 S MAIN STBrooksville, FL 34601-3320

Mailing Address300 S Main StBrooksville, FL 34601-3320 · (352) 540-6800 · Fax (352) 754-4132

Phone(352) 540-6800

Fax(352) 754-4132

Sole ProprietorNo

Enumeration DateMarch 9, 2006

Last NPPES UpdateSeptember 3, 2010

✔ NPI 1972571578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in FL · ME 82767

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

300 S MAIN ST, Brooksville, FL 34601

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Other Names 1

Former Name (1)Dr. Khin Lay Maw M.d.

Other Identifiers 3

Medicaid2618711-00FL

Medicare UPINH45955 0001FL

Medicare ID-Type UnspecifiedE 6033ZFL

Other Providers at the Same Location NPPES 13

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

LAUREL ELIZABETH FERGUSON L.D., R.D.

Dietitian, Registered