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Individual

LEAH KELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PNP-BC

Contact information

Practice address
200 FORBES ST STE 200, ANNAPOLIS, MD 21401-1599
(401) 580-4247
Mailing address
1919 DULANY PL, ANNAPOLIS, MD 21409-6220
(401) 580-4247

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
95003321
CA
363LP0200X
Pediatric Nurse Practitioner
Primary
R200411
MD

Other

Enumeration date
08/22/2013
Last updated
10/15/2020
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