Individual
KELLY JO PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN-BC
Contact information
Practice address
610 9TH AVE, BRUNSWICK, MD 21716-1828
(301) 834-7188
(301) 834-7889
Mailing address
610 9TH AVE, BRUNSWICK, MD 21716-1828
(301) 834-7188
(301) 834-6350
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
49577
WV
363LF0000X
Family Nurse Practitioner
Primary
R114413
MD
Other
Enumeration date
05/07/2007
Last updated
07/02/2010
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