Individual
KERRY KATHRYN LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN-CNP, FNP-C
Contact information
Practice address
6480 OLD WATERLOO RD, ELKRIDGE, MD 21075-6508
(410) 799-0291
Mailing address
6480 OLD WATERLOO RD, ELKRIDGE, MD 21075-6508
(410) 799-0291
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AC002786
MD
Other
Enumeration date
07/10/2019
Last updated
03/12/2021
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