Individual
PATRICK KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ABOC
Contact information
Practice address
1490 W PATAPSCO AVE, BALTIMORE, MD 21230-3400
(410) 355-6900
(410) 355-6910
Mailing address
1490 W PATAPSCO AVE, BALTIMORE, MD 21230-3400
(410) 355-6900
(410) 355-6910
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
43480
MD
Other
Enumeration date
09/24/2009
Last updated
09/24/2009
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