Individual
DR. KELLI ALISA STRAUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13620 CRAYTON BOULEVARD, HAGERSTOWN, MD 21742
(240) 313-9890
(240) 313-9891
Mailing address
P O BOX 412047, BOSTON, MA 02241
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0047234
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
376491500
—
MD
Enumeration date
06/15/2005
Last updated
11/27/2018
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