Individual
MRS. KELLEY ANN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
27 COURTHOUSE SQ, ROCKVILLE, MD 20850-2308
(866) 944-6046
Mailing address
27 COURTHOUSE SQ, ROCKVILLE, MD 20850-2308
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
LG0000347
DE
363LF0000X
Family Nurse Practitioner
Primary
R227097
MD
Other
Enumeration date
12/04/2006
Last updated
05/31/2024
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