Individual
KELLY BLOSSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1117 KNOPP RD, JARRETTSVILLE, MD 21084-1614
(410) 328-9503
Mailing address
1117 KNOPP RD, JARRETTSVILLE, MD 21084-1614
(410) 328-9503
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R134812
MD
Other
Enumeration date
03/22/2014
Last updated
03/22/2014
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