Individual
KELLY KELLER-JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4546 HIDDEN STREAM CT, OWINGS MILLS, MD 21117-4837
(410) 294-0278
Mailing address
4546 HIDDEN STREAM CT, OWINGS MILLS, MD 21117-4837
(410) 294-0278
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R168856
MD
Other
Enumeration date
11/09/2022
Last updated
05/08/2023
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