Individual
KELLY KENDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1782 E REGENTS PARK RD, CROFTON, MD 21114-2530
(856) 220-5144
Mailing address
1782 E REGENTS PARK RD, CROFTON, MD 21114-2530
(856) 220-5144
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
R203305
MD
Other
Enumeration date
07/13/2020
Last updated
07/13/2020
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