Individual
DR. KELLY ANN SHINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
74 THOMAS JOHNSON DR, FREDERICK, MD 21702-4300
(301) 694-3200
(301) 662-5288
Mailing address
3 E THIRTEENTH ST, FREDERICK, MD 21701-4402
(240) 285-5856
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D0060209
MD
Other
Enumeration date
03/14/2006
Last updated
07/01/2013
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