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Grant Kelly, MD

Student in an Organized Health Care Education/Training Program in Bethesda, MD. Individual provider (NPI-1).

NPI number1497558720
StatusActive
Last updated in NPPESMar 31, 2025

Details

NPI
1497558720
Entity type
Individual (NPI-1)
Name
Grant Kelly
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Mar 31, 2025
Certification date
Mar 31, 2025
Last updated
Mar 31, 2025

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

8901 Rockville Pike
Bethesda, MD 20889-0001

Phone 301-295-4000

Mailing address

8901 Rockville Pike
Bethesda, MD 20889-0001

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Student in an Organized Health Care Education/Training Program providers in Bethesda, MD

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