Individual provider · NPI-1

Kelly M Clayton, MD

Pediatrics, Pediatric Emergency Medicine · Hollywood, FL

NPI number1629126149
StatusActive
Last updated in NPPESMar 14, 2021

Details

NPI
1629126149
Entity type
Individual (NPI-1)
Name
Kelly M Clayton
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Jan 8, 2007
Certification date
Mar 14, 2021
Last updated
Mar 14, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2080P0204X Pediatrics, Pediatric Emergency MedicineME112508FLYes
208000000X PediatricsMD.29481AL
207P00000X Emergency MedicineMD.29481AL
208000000X PediatricsTRN10591FL

Practice location

1005 Joe Dimaggio Dr
Hollywood, FL 33021-5402

Phone 954-265-3482

Mailing address

1005 Joe Dimaggio Dr
Hollywood, FL 33021-5402

Other practice locations

1600 7th Ave S
Birmingham, AL 35233-1711

Phone 205-939-9587 · Fax 205-975-4623

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