Individual
KALEY HANLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
601 N CAROLINE ST, BALTIMORE, MD 21287-0006
(443) 997-2663
(410) 367-2219
Mailing address
6201 GREENLEIGH AVE, BALTIMORE, MD 21220-2004
(410) 933-6423
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0008643
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C0008643
MARYLAND BOARD OF PHYSICIANS
MD
Enumeration date
10/04/2022
Last updated
01/06/2025
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