Individual
KELLY PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6501 N CHARLES ST, BALTIMORE, MD 21204-6819
(410) 938-3000
Mailing address
849 FAIRMOUNT AVE FL 5, TOWSON, MD 21286-2624
(443) 377-5273
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D0090590
MD
Other
Enumeration date
03/25/2019
Last updated
07/15/2024
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