Individual
MAUREEN ANNE KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3900 LOCH RAVEN BLVD, BALTIMORE, MD 21218-2108
(410) 605-7621
(410) 605-7691
Mailing address
6392 SHADOWSHAPE PL, COLUMBIA, MD 21045-4527
(410) 605-7621
(410) 605-7691
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
R051063
MD
Other
Enumeration date
05/24/2005
Last updated
08/24/2012
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