Individual provider · Type 1 NPI

Susan Staba Kelly, MD

Pediatric Hematology & Oncology Physician · Orlando, FL

NPI number 1235170242 Active

Practice location

2501 N Orange Ave, Suite 589
Orlando, FL 32804-4603

Call (407) 303-1300 Map

Fax (407) 303-1301

Specialties and licenses

TaxonomyCodeLicense
Pediatric Hematology & Oncology Physician Primary 2080P0207XME79161 (FL)
Pediatric Hematology & Oncology Physician 2080P0207XM8760 (TX)

Pediatric Hematology & Oncology Physician: A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

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About NPI 1235170242

Susan Staba Kelly, MD's National Provider Identifier is 1235170242, issued on Jun 9, 2006. The primary taxonomy on file is Pediatric Hematology & Oncology Physician (2080P0207X), and the practice location is in Orlando, FL. The record was last updated on Mar 29, 2017.