person
Kelly L. Geoghan, DPM
Podiatrist in Lutherville, Maryland
NPI 1932100153

Kelly L. Geoghan is a Podiatrist based in Lutherville, MD. Kelly L. Geoghan practices in Lutherville, MD and has the professional credentials of DPM. The NPI Number for Kelly L. Geoghan is 1932100153 and holds a License No. 01285 (Maryland).

The current practice location address for Kelly L. Geoghan is 1447 York Road, Lutherville, MD and can be reached out via phone at 410-753-4422 and via fax at 410-753-4660.

Location: 1447 York Road, Lutherville, MD, 21093-6097
person
Provider Profile Details
NPI Number
1932100153
Provider Name
Kelly L. Geoghan
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
1447 York Road, Lutherville, MD, 21093-6097
Phone Number
410-753-4422
Fax Number
410-753-4660
Provider Enumeration Date
08/10/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6614180001 01 MD MEDICARE DMEPOS
CDJ4KL 758639-07 01 MD CAREFIRST
CDJ4KL 758639-06 01 MD CAREFIRST
Y410-0001 01 DC CAREFIRST
institution
Provider Business Practice Location Address Details
Address
1447 York Road
City
State
Zip
21093-6097
Phone Number
410-753-4422
Fax Number
410-753-4660
person
Provider Business Mailing Address Details
Address
1447 York Road
City
State
Zip
21093-6097
Phone Number
410-753-4422
Fax Number
410-753-4660
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
License No.
01285 (Maryland)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
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