NPI 1629126149 · live from the CMS NPI Registry
Kelly M Clayton, MD
Pediatrics, Pediatric Emergency Medicine in Hollywood, FL. National Provider Identifier 1629126149, active.
NPI record
| NPI | 1629126149 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics, Pediatric Emergency Medicine 2080P0204X |
| Practice location | 1005 Joe Dimaggio Dr, Hollywood, FL 33021 |
| Practice phone | 954-265-3482 |
| Enumerated | January 8, 2007 |
| Last updated | March 14, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics | 208000000X | MD.29481 (AL) |
| Emergency Medicine | 207P00000X | MD.29481 (AL) |
| Pediatrics | 208000000X | TRN10591 (FL) |
| Pediatrics, Pediatric Emergency Medicine primary | 2080P0204X | ME112508 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.