Individual
GILLEAN KELLY CONNOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1800 ORLEANS ST, BALTIMORE, MD 21287-0010
(512) 751-7384
Mailing address
1015 MERIDEN LN, AUSTIN, TX 78703-3822
(512) 751-7384
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
7235
—
Other
Enumeration date
03/30/2023
Last updated
05/08/2023
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