Provider Demographics
NPI:1073825121
Name:ADAMS, KELLY MARIE (DO)
Entity Type:Individual
Prefix:
First Name:KELLY
Middle Name:MARIE
Last Name:ADAMS
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Gender:F
Credentials:DO
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Mailing Address - Street 1:3415 BAINBRIDGE AVE
Mailing Address - Street 2:THE CHILDREN'S HOSPITAL AT MONTEFIORE MEDICAL CENTER
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467-2403
Mailing Address - Country:US
Mailing Address - Phone:718-515-2330
Mailing Address - Fax:718-515-2608
Practice Address - Street 1:3415 BAINBRIDGE AVE
Practice Address - Street 2:THE CHILDREN'S HOSPITAL AT MONTEFIORE MEDICAL CENTER
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-2403
Practice Address - Country:US
Practice Address - Phone:718-515-2330
Practice Address - Fax:718-515-2608
Is Sole Proprietor?:No
Enumeration Date:2010-07-06
Last Update Date:2014-08-29
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Provider Licenses
StateLicense IDTaxonomies
PAOS0151152080P0214X
NY42339212080P0214X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric Pulmonology