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Individual

MRS. KELLY M. RECHTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
600 N WOLFE ST, JOHNS HOPKINS HOSPITAL, BALTIMORE, MD 21287-0005
(410) 502-2762
Mailing address
PO BOX 64382, BALTIMORE, MD 21264-4382
(410) 550-8432

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
0024166871
VA
367500000X
Certified Registered Nurse Anesthetist
28151920A
IN
367500000X
Certified Registered Nurse Anesthetist
Primary
R187508
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
023630600
MD
05
1386677854
VA
01
139180
ANTHEM
VA
01
484645
NCPPO
VA
01
K142-0002
CAREFIRST
DC
Enumeration date
07/08/2006
Last updated
02/03/2011
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