Individual
KELLY MALEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
909 RIDGEBROOK RD STE 300, SPARKS, MD 21152-9477
(443) 383-9300
Mailing address
1419 W 40TH ST, ERIE, PA 16509-1235
(814) 528-1065
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP033740
PA
Other
Enumeration date
09/03/2025
Last updated
09/03/2025
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