Individual
LAURIE KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 WOOTTON PKWY, PLAZA LEVEL, SUITE 100, ROCKVILLE, MD 20852-1059
(240) 453-6026
Mailing address
1101 WOOTTON PKWY, PLAZA LEVEL, SUITE 100, ROCKVILLE, MD 20852-1059
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0002331
MD
Other
Enumeration date
10/02/2008
Last updated
10/02/2008
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