Individual
MRS. KELLY MACCUBBIN ALLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8403 COLESVILLE RD STE 1100, SILVER SPRING, MD 20910-6346
(443) 383-9300
(855) 866-8710
Mailing address
909 RIDGEBROOK RD STE 300, SPARKS GLENCOE, MD 21152-9477
(443) 383-9300
(855) 866-8710
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R155837
MD
363LF0000X
Family Nurse Practitioner
Primary
R155867
MD
Other
Enumeration date
06/05/2018
Last updated
07/12/2023
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