Individual
KELLEEN BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
12209 FALLEN TIMBERS CIR, HAGERSTOWN, MD 21740-1238
(240) 678-2590
Mailing address
12209 FALLEN TIMBERS CIR, HAGERSTOWN, MD 21740-1238
(240) 678-2590
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R219717
MD
Other
Enumeration date
02/09/2023
Last updated
10/02/2025
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