Individual
MRS. RENEE KELLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-6897
(410) 328-2109
Mailing address
PO BOX 64226, BALTIMORE, MD 21264-4742
(410) 328-6897
(410) 328-2109
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R079839
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0083
CAREFIRST REGIONAL
MD
01
—
227446
KAISER
MD
05
—
400256300
—
MD
01
—
61942101
BLUE SHIELD
MD
Enumeration date
07/30/2006
Last updated
10/22/2024
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