Individual
DR. SHANNON KELSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CRNP-PMH, PMHNP
Contact information
Practice address
658 KENILWORTH DR STE 206, TOWSON, MD 21204-2334
(443) 841-7550
Mailing address
658 KENILWORTH DR STE 206, TOWSON, MD 21204-2334
(443) 841-7550
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R207920
MD
Other
Enumeration date
07/22/2019
Last updated
01/07/2021
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