M.D. Robert E. Kelly JR., NPI 1396752838
Pediatric Surgery Physician in Norfolk, VA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1396752838
NPI Entity Type Individual
Provider Name M.D. Robert E. Kelly JR.
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 601 Childrens Ln, Norfolk, VA, US
Provider Mailing Address Po Box 741593, Childrens Surgical Specialty Group Inc, Atlanta, GA, US, 303741593
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

2086S0120X

Taxonomy Name Pediatric Surgery Physician
Classification

Surgery

Group

Allopathic & Osteopathic Physicians

License No. 0101050898
License State VA
Description A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

Business Address

M.D. Robert E. Kelly JR.
601 Childrens Ln

Norfolk, VA, US

Phone: 757-668-7703
Fax: 757-668-8860

Mailing Address

M.D. Robert E. Kelly JR.
Po Box 741593
Childrens Surgical Specialty Group Inc
Atlanta, GA, US
ZIP 303741593
Phone: 757-668-7703
Fax: 757-668-8860

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
8906998 NC MEDICAID 05
4480859 VA AETNA 01
15404 VA OPTIMA/SENTARA HEALTH 01
3116108340002E VA CIGNA 01
321883 VA MAMSI/OPTIMUM CHOICE 01
006732861 VA MEDICAID 05
321883 VA ALLIANCE/MDIPA 01
265055 VA ANTHEM BCBS 01
311610834 VA NC HEALTH CHOICE 01
8906998 VA NORTH CAROLINA MEDICAID 01

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