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MS. KELLIE JEAN FOX NOONAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
635 E MAIN ST, SALISBURY, MD 21804-5021
(443) 754-1675
(883) 449-3796
Mailing address
PO BOX 1978, SALISBURY, MD 21802-1978
(410) 749-1015

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R114595
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
119591300
MD
Enumeration date
05/23/2005
Last updated
02/07/2024
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