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Individual

MR. MARK M KELLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RNP

Contact information

Practice address
6514 MEADOWRIDGE RD, ELKRIDGE, MD 21075-6115
(855) 247-8474
Mailing address
20330 JOHN RD, LITTLE ROCK, AR 72210-5509
(501) 821-5815

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
P000562
AR

Other

Enumeration date
01/14/2013
Last updated
01/14/2013
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