Individual
KRISTEN CHANDLER CLOUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
200 HOSPITAL DR, GLEN BURNIE, MD 21061
(410) 768-5555
(401) 768-5835
Mailing address
200 HOSPITAL DR, GLEN BURNIE, MD 21061-5884
(410) 768-5555
(401) 768-5835
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C06744
MD
363A00000X
Physician Assistant
—
—
Other
Enumeration date
08/31/2016
Last updated
06/06/2018
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