Individual
KELLY LYNN COMBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
419 W REDWOOD ST STE 600, BALTIMORE, MD 21201-7000
(410) 328-2902
Mailing address
240 AMBLESIDE DR APT SUITE, SEVERNA PARK, MD 21146-1220
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0010065
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/23/2024
Last updated
03/12/2026
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