Individual
MS. KELSEY MCCULLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1501 N MARKET ST # 4430, FREDERICK, MD 21701-4430
(240) 236-8200
Mailing address
5203 BLACK LOCUST DR APT 113, FREDERICK, MD 21703-7953
(631) 942-9932
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
A0001260
MD
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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