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Individual

MS. SUSAN M KELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NNP

Contact information

Practice address
900 S CATON AVE, BALTIMORE, MD 21229-5201
(667) 234-6000
Mailing address
561 HOOK RD, WESTMINSTER, MD 21157-5963
(315) 430-2066

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
R239962
MD

Other

Enumeration date
10/01/2019
Last updated
10/01/2019
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