Individual
MS. KELLY A HUME-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
410 BISHOP ST, WESTMINSTER, MD 21157
(410) 218-9827
Mailing address
410 BISHOP ST, WESTMINSTER, MD 21157-5448
(410) 218-9827
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
02426
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
406110100
—
MD
01
—
KJ47/64276801
CAREFIRST MARYLAND GBMC
MD
01
—
S1290026
CAREFIRST REGIONAL GBMC
MD
Enumeration date
05/27/2006
Last updated
02/28/2019
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