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Individual

AMANDA KELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
103 BATA BLVD STE A, BELCAMP, MD 21017-1420
(410) 575-6611
Mailing address
103 BATA BLVD STE A, BELCAMP, MD 21017-1420
(410) 575-6611
(410) 367-2141

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R195759
MD

Other

Enumeration date
08/02/2016
Last updated
06/20/2019
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