Individual
KIA ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
110 HOSPITAL RD STE 101, PRINCE FREDERICK, MD 20678-4019
(410) 535-8119
(443) 899-1038
Mailing address
110 HOSPITAL RD STE 101, PRINCE FREDERICK, MD 20678-4019
(410) 414-2778
(443) 899-1038
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R201699
MD
Other
Enumeration date
09/12/2018
Last updated
01/23/2026
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