Individual
KENT ELIAS PERTTULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
501 W 7TH ST, FREDERICK, MD 21701-4586
(240) 215-6310
(240) 566-7754
Mailing address
1 FREDERICK HEALTH WAY, FREDERICK, MD 21701-9435
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
95018766
CA
363L00000X
Nurse Practitioner
Primary
R270779
MD
Other
Enumeration date
04/02/2024
Last updated
08/11/2025
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