Individual
KELLY M. SEIDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D
Contact information
Practice address
161 THOMAS JOHNSON DR STE 275, FREDERICK, MD 21702-4314
(301) 320-9268
(301) 620-9228
Mailing address
9910 FRANKLIN SQUARE DR STE 2110, BALTIMORE, MD 21236-4902
(410) 933-6423
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OEG003409
PA
152W00000X
Optometrist
Primary
TA2768
MD
Other
Enumeration date
07/05/2018
Last updated
11/20/2020
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