Individual
JENNIFER KEITHLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
100 E CARROLL ST, SALISBURY, MD 21801-5422
(410) 546-6400
Mailing address
8745 BARBARA ANN WAY APT 301, DELMAR, MD 21875-2598
(989) 254-2728
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0008817
MD
Other
Enumeration date
02/17/2023
Last updated
02/17/2023
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