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Individual

KELLY DANGRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
10175 LITTLE PATUXENT PKWY, COLUMBIA, MD 21044-2655
(512) 202-7185
Mailing address
10175 LITTLE PATUXENT PKWY, COLUMBIA, MD 21044-2655

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP125805
TX

Other

Enumeration date
10/03/2014
Last updated
12/27/2023
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