Kelli Khinlay Maw, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME 82767 Issued in FL

Practice address

300 S Main St
Brooksville, FL 34601-3320

Phone

(352) 540-6800

Fax

(352) 754-4132

NPI assigned

Mar 9, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Khin Lay Maw Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283472000000",
    "number": "1972571578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S MAIN ST",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346013320",
            "telephone_number": "352-540-6800",
            "fax_number": "352-754-4132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S MAIN ST",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346013320",
            "telephone_number": "352-540-6800",
            "fax_number": "352-754-4132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAW",
        "first_name": "KELLI",
        "middle_name": "KHINLAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2010-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME 82767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2618711-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KHIN",
            "last_name": "MAW",
            "middle_name": "LAY",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Thomas Mathews, MD
• Nivedita Mathur, M.D.
• Radhika Mathur, M.B.B.S
• James C. Mauch, M.D.
• Mary E Mauriello, RN
• Luis Maybit-Pasker
• Leydis Dayana Mayo
• Rae-Ann McCall
• Gary C McCarragher, M.D.
• Jarret McCartney

• Family Medicine Physician in Brooksville, FL
• Providers in Brooksville, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.