Individual
KELLY FISHER MOYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16 S EUTAW ST STE 500, BALTIMORE, MD 21201-1619
(410) 328-0972
Mailing address
16 S EUTAW ST STE 500, BALTIMORE, MD 21201-1619
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
D0089987
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2014
Last updated
08/14/2020
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