Individual
AMY JO KILEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP, RN
Contact information
Practice address
5200 EASTERN AVE STE 2200, BALTIMORE, MD 21224-2744
(410) 550-0931
Mailing address
236 S ROBINSON ST, BALTIMORE, MD 21224-2214
(605) 695-8967
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
R199562
MD
Other
Enumeration date
05/26/2018
Last updated
05/26/2018
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