Individual
MS. PATRICIA JO KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.P.
Contact information
Practice address
6701 N CHARLES ST, DEPT OF SURGERY, BALTIMORE, MD 21204-6808
(443) 849-2670
Mailing address
PO BOX 631568, BALTIMORE, MD 21263-1568
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R053758
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
265571
GBMC KAISER PERM
MD
01
—
KJ60/89218901
CAREFIRST MARYLAND GBMC
MD
01
—
S1250009
CAREFIRST REGIONAL GBMC
MD
Enumeration date
11/17/2006
Last updated
08/01/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us