Shannon Mcclure Kelly
Pediatric Orthopaedic Surgeon
111 Michigan Ave Nw Orthopaedic Surgery
Washington
, District of Columbia 20010-2978
Shannon Mcclure Kelly
Pediatric Orthopaedic Surgeon
111 Michigan Ave Nw Orthopaedic Surgery
Washington
, District of Columbia 20010-2978
(202) 476-4613
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About
Features
Specialties
- Pediatric Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Shannon Mcclure Kelly
- 111 Michigan Ave Nw
- Washington, DC
- Zip : 20010-2978
- Fax : (202) 476-4613
- Phone : (202) 476-4063
Second Address
- Shannon Mcclure Kelly
- 111 Michigan Ave Nw Orthopaedic Surgery
- Washington, DC
- Zip : 20010-2978
- Fax : (202) 476-4613
- Phone : (202) 476-4063
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FAQs
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Is Shannon Mcclure Kelly a sole practitioner?
Is Shannon Mcclure Kelly accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XP3100X | Pediatric Orthopaedic Surgeon | MD034912 | DC |
National Provider Identifier
| NPI | 1053491787 |
|---|---|
| Provider Name | Shannon Mcclure Kelly |
| First Address | Washington, DC 20010-2978 |
| Second Address | Washington, DC 20010-2978 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/10/2006 |
| Last Update Date | 18/03/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| H02541 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.