Individual
KELLI TERESA HARKLESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
200 HOSPITAL DR # 300, GLEN BURNIE, MD 21061-5884
(410) 837-2050
Mailing address
9104 BRADFORD RD, SILVER SPRING, MD 20901-4918
(301) 520-7353
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
R219884
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R219884
STATE LICENSE
MD
Enumeration date
07/22/2016
Last updated
10/17/2023
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