Individual
DR. KRISTEN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
5809 DEALE CHURCHTON RD, DEALE, MD 20751-2203
(410) 867-2455
(410) 867-2466
Mailing address
3504 CEDAR DR, EDGEWATER, MD 21037-3225
(410) 935-1905
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21883
MD
Other
Enumeration date
09/27/2013
Last updated
10/25/2019
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