Organization
CRISFIELD CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KERRY COLLEEN PALAKANIS CRNP (OWNER)
(443) 493-0062
Entity
Organization
Contact information
Practice address
4384 CRISFIELD HWY, CRISFIELD, MD 21817-2550
(410) 968-1800
Mailing address
4384 CRISFIELD HWY, CRISFIELD, MD 21817-2550
(410) 968-1800
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R105366
MD
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
R091871
MD
Other
Enumeration date
04/09/2012
Last updated
04/09/2012
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