| Kelly M Maples, MD | |
|
300 Riverview Ave, Suite 301, Norfolk, VA 23510 | |
| (757) 668-8255 | |
| (757) 668-9444 |
| Full Name | Kelly M Maples |
|---|---|
| Gender | Female |
| Speciality | Allergy & Immunology - Allergy |
| Location | 300 Riverview Ave, Norfolk, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649243031 | NPI | - | NPPES |
| 010134986 | Medicaid | VA | |
| 7692114 | Other | VA | CIGNA |
| 178379 | Other | VA | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207KA0200X | Allergy & Immunology - Allergy | 0101237473 (Virginia) | Primary |
| Entity Name | Childrens Specialty Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255354130 PECOS PAC ID: 5890788764 Enrollment ID: O20040406001195 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly M Maples, MD 300 Riverview, Ste 301, Norfolk, VA 23510 Ph: (757) 668-8255 | Kelly M Maples, MD 300 Riverview Ave, Suite 301, Norfolk, VA 23510 Ph: (757) 668-8255 |
Mr. Burton Alan Moss, MD Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 302a E Little Creek Rd, Norfolk, VA 23505 Phone: 757-583-4382 Fax: 757-480-3675 | |
Angela D. Hogan, M.D. Allergy & Immunology Medicare: Medicare Enrolled Practice Location: 601 Childrens Ln, Norfolk, VA 23507 Phone: 757-668-8255 Fax: 757-668-9444 | |
Lauren Lee Smith, M.D. Allergy & Immunology Medicare: Medicare Enrolled Practice Location: 601 Childrens Ln, Norfolk, VA 23507 Phone: 757-668-8255 |