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Individual

KERRI AN MROSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3100 WYMAN PARK DR, DEPT OF MEDICINE, BALTIMORE, MD 21211
(410) 338-3500
Mailing address
9910 FRANKLIN SQUARE DR # 2110, BALTIMORE, MD 21236-4902
(410) 933-5412

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0063347
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
408216800
MD
01
KF68 / 647758-01
BC / BS OF MD
MD
01
S189 / 0041
BLUECHOICE
MD
Enumeration date
05/23/2006
Last updated
06/05/2018
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