Individual
KELLIE NICOLE BURROUGHS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5601 LOCH RAVEN BLVD, BALTIMORE, MD 21239-2950
(443) 444-4561
Mailing address
420 W SLAUGHTER LN APT 1033, AUSTIN, TX 78748-1756
(410) 829-8804
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP145721
TX
Other
Enumeration date
04/27/2020
Last updated
08/14/2025
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