Individual
KELLY J VIANDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2002 MEDICAL PARKWAY, SUITE 430, ANNAPOLIS, MD 21401-3263
(443) 481-1940
(443) 481-1941
Mailing address
PO BOX 12622, BELFAST, ME 04915-4017
(443) 481-6467
(443) 481-6515
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
C003010
MD
Other
Enumeration date
01/04/2007
Last updated
04/01/2015
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