Individual
KERI CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LDN
Contact information
Practice address
4801 DORSEY HALL DR STE 201, ELLICOTT CITY, MD 21042-7749
(410) 992-4747
Mailing address
4801 DORSEY HALL DR STE 201, ELLICOTT CITY, MD 21042-7749
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
DX-3452
MD
Other
Enumeration date
01/19/2018
Last updated
01/19/2018
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