Individual
CAITLYN KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8800 WALTHER BLVD, PARKVILLE, MD 21234-9001
(877) 345-5300
(561) 989-3665
Mailing address
4700 EXCHANGE CT STE 110, BOCA RATON, FL 33431-4450
(877) 345-5300
(561) 989-3665
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0010469
MD
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/24/2025
Last updated
04/16/2026
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