Individual
KENNALEE ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPAS, PA-C
Contact information
Practice address
11116 MEDICAL CAMPUS RD, HAGERSTOWN, MD 21742-6710
(301) 790-8000
Mailing address
11116 MEDICAL CAMPUS RD, HAGERSTOWN, MD 21742-6710
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0008996
MD
363AM0700X
Medical Physician Assistant
OA007523
PA
Other
Enumeration date
07/31/2023
Last updated
04/02/2026
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