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Individual

MICHELLE ELLEN KALENDEK

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
7700 YORK RD, TOWSON, MD 21204-7513
(410) 821-5500
Mailing address
9108 SMITH AVE, BALTIMORE, MD 21236-1710

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
R097104
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0082
CAREFIRST BC OF NCA IND #
DC
01
62223601
CAREFIRST BC OF MD IND #
MD
Enumeration date
03/08/2006
Last updated
07/08/2007
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