Organization
CARROLL HEALTH GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN KELBLY (CFO)
(410) 871-6861
Entity
Organization
Contact information
Practice address
520 E BALTIMORE ST, SUITE 8, TANEYTOWN, MD 21787-2407
(443) 487-5454
Mailing address
193 STONER AVE, SUITE 110, WESTMINSTER, MD 21157-5587
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/16/2014
Last updated
07/16/2014
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