Individual
MICHAELA KATHERINE KORDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2100 OLD FARM DR STE C, FREDERICK, MD 21702-5402
(301) 662-9105
(301) 662-9026
Mailing address
6729 KERNEL CT, FREDERICK, MD 21703-1817
(443) 758-6146
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
7130
AZ
363AM0700X
Medical Physician Assistant
Primary
C07208
MD
363AM0700X
Medical Physician Assistant
MA063837
PA
Other
Enumeration date
07/04/2018
Last updated
06/23/2025
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