Individual
DR. KELLI LYNN OUTLAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10 NATHAN D PERLMAN PL, NEW YORK, NY 10003-3851
(212) 420-2000
Mailing address
901 HARRY S TRUMAN DR N, LARGO, MD 20774-5477
(240) 461-8696
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
324916
LA
207P00000X
Emergency Medicine Physician
Primary
D0085051
MD
Other
Enumeration date
03/25/2015
Last updated
01/18/2024
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