Individual
MS. KERRI A NOWOTNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
525 GLENBURN AVE, CAMBRIDGE, MD 21613-1414
(410) 221-1400
Mailing address
PO BOX 944, LAUREL, DE 19956-0944
(631) 513-6955
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0005128
MD
Other
Enumeration date
10/04/2006
Last updated
08/15/2023
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