Individual
KERRY GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
600 RIDGELY AVE, SUTIE 130, ANNAPOLIS, MD 21401-1001
(410) 266-8049
(410) 266-0895
Mailing address
600 RIDGELY AVE, SUITE 130, ANNAPOLIS, MD 21401-1001
(410) 266-8049
(410) 266-0895
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1070062
NY
363AS0400X
Surgical Physician Assistant
Primary
C03923
MD
Other
Enumeration date
12/05/2006
Last updated
03/08/2010
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