Individual
JACQUELINE RITA KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
737 W LOMBARD ST, BALTIMORE, MD 21201-1009
(410) 706-2300
(410) 706-5770
Mailing address
140 MARIE CIR, ASTON, PA 19014-2268
(610) 804-4656
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R236041
MD
Other
Enumeration date
01/19/2024
Last updated
01/19/2024
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