Individual
KELLI L O'NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
86 THOMAS JOHNSON CT, FREDERICK, MD 21702-4348
(301) 694-8311
(301) 694-3537
Mailing address
86 THOMAS JOHNSON CT, FREDERICK, MD 21702-4348
(301) 694-8311
(301) 694-3537
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C04302
MD
Other
Enumeration date
09/13/2010
Last updated
09/21/2023
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