Individual
KELLI MCCALLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1040 PARK AVE STE 200, BALTIMORE, MD 21201-5634
(443) 738-0300
Mailing address
1040 PARK AVE STE 200, BALTIMORE, MD 21201-5634
(443) 738-0300
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R177915
MD
Other
Enumeration date
05/18/2015
Last updated
06/17/2019
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