Individual
KIRSTEN MARIE KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
28539 MARLBORO AVE, EASTON, MD 21601-2752
(410) 770-6181
Mailing address
28539 MARLBORO AVE, EASTON, MD 21601-2752
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
27712
MD
Other
Enumeration date
12/21/2020
Last updated
12/21/2020
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