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Individual

REBECCA JANE KELLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, CRNP, A-GNP-C

Contact information

Practice address
1600 CRAIN HWY S STE 502, GLEN BURNIE, MD 21061-6441
(410) 766-8911
Mailing address
7401 CAMPBELL DR, SEVERN, MD 21144-2774
(410) 766-8911

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R177796
MD

Other

Enumeration date
08/29/2022
Last updated
05/10/2025
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