Kelly L. Geoghan is a Lutherville, Maryland based female podiatrist with 27 years of experience in Podiatry. She completed her graduation in 1997. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Kelly L. Geoghan for Podiatry is 01285 in Maryland. Kelly L. Geoghan is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. She diagnose and treat foot diseases and deformities. She can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Kelly L. Geoghan speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist
Credentials:
D.P.M.
Experience:
27+ years
Medical School Attended:
Other
Graduation Year:
1997
Gender:
Female
Accepts Medicare Assignment:
Yes
Practice Address:
1447 York Road, Suite 504, Lutherville, Maryland, 21093-6097
Phone:
410-753-4422
Fax:
410-753-4660
Professional Identification Codes:
NPI number stands for National Provider Identifier which 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).
NPI details are as mentioned below.
PAC ID:
4284608670
Enrollment ID:
I20040823000247
NPI Number:
1932100153
NPI Enumeration Date:
10 Aug, 2005
NPI Last Update On:
16 May, 2013
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kelly L. Geoghan are as mentioned below.
License Number
Specialization
State
Status
01285
Podiatry
Maryland
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Kelly L. Geoghan such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
6614180001
Other
Maryland
MEDICARE DMEPOS
CDJ4KL 758639-07
Other
Maryland
CAREFIRST
CDJ4KL 758639-06
Other
Maryland
CAREFIRST
Y410-0001
Other
District Of Columbia
CAREFIRST
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1447 York Road, Suite 504 Lutherville, Maryland
Zip:
21093-6097
Phone Number:
410-753-4422
Fax Number:
410-753-4660
Patients can reach Kelly L. Geoghan at 1447 York Road, Suite 504, Lutherville, Maryland or can call to book an appointment on 410-753-4422. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.