Individual
MRS. KELLEY LYNN MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3300 CENTENNIAL LN, ELLICOTT CITY, MD 21042-3600
(410) 750-9439
Mailing address
11520 LITTLE PATUXENT PKWY, CONDO #309, COLUMBIA, MD 21044-4335
(410) 852-4256
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R178372
MD
Other
Enumeration date
09/07/2012
Last updated
09/07/2012
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