Active NPIIndividual provider

Shannon E Kelly, OTR/L

Specialist/Technologist, Other in Salisbury, Maryland

NPI Number1255911392
Practice location
1336 Belmont Ave # 502, Salisbury, MD 21804-4500
Fax
—
Last updated
April 13, 2021

Shannon Elizabeth Kelly is a Specialist/Technologist, Other based in Salisbury, MD. Shannon Elizabeth Kelly practices in Salisbury, MD and has the professional credentials of OTR/L. The NPI Number for Shannon Elizabeth Kelly is 1255911392 and holds a License No. 09273 (MD). The current practice location address for Shannon Elizabeth Kelly is 1336 Belmont Ave # 502, Salisbury, MD 21804-4500 and can be reached out via phone at 410-546-2894.

Provider Profile Details

NPI Number
1255911392
Provider Name
Shannon Elizabeth Kelly
Credential
OTR/L
Provider Entity Type
Individual
Gender
Female
Address
1336 Belmont Ave # 502, Salisbury, MD 21804-4500
Phone Number
410-546-2894
Primary Taxonomy
Specialist/Technologist, Other · 246Z00000X
Sole Proprietor
No
Provider Enumeration Date
April 13, 2021
Last Update Date
April 13, 2021
Certification Date
April 13, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
1336 Belmont Ave # 502
Salisbury, MD 21804-4500
Zip
21804-4500
Phone Number
410-546-2894
Salisbury, MD 21804Get directions →

Provider Business Mailing Address Details

Address
6 Brielle Ave
Egg Harbor Township, NJ 08234-5732
City
Egg Harbor Township
State
NJ
Zip
08234-5732
Phone Number
609-703-5411

License Information

License Number (1)
09273
License State (1)
MD
Taxonomy (1)
Specialist/Technologist, Other · 246Z00000X · Primary
License Number (2)
09273
License State (2)
MD
Taxonomy (2)
Occupational Therapist · 225X00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Shannon E Kelly, OTR/L?

The NPI number of Shannon E Kelly, OTR/L is 1255911392. It was assigned on April 13, 2021 and is currently active in the NPPES registry.

What is the specialty of Shannon E Kelly, OTR/L?

Shannon E Kelly, OTR/L is registered under the primary taxonomy Specialist/Technologist, Other (code 246Z00000X), licensed in MD under license number 09273.

Where does Shannon E Kelly, OTR/L practice?

The practice location is 1336 Belmont Ave # 502, Salisbury, MD 21804-4500. The office can be reached at 410-546-2894 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1255911392 directly on the NPPES registry website.

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