Individual
KELLYANNE BOYLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
1629 YORK RD, LUTHERVILLE, MD 21093-5633
(443) 578-3900
Mailing address
3615 E JOPPA RD STE 210, PARKVILLE, MD 21234-3386
(410) 944-3100
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
01610
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1942325527
AUDIOLOGY
MD
Enumeration date
07/13/2022
Last updated
07/13/2022
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