Individual
KELLIE LE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, CPNP-PC
Contact information
Practice address
11055 LITTLE PATUXENT PKWY STE 103, COLUMBIA, MD 21044-2908
(410) 992-9339
Mailing address
9306 GEORGIA BELLE DR, PERRY HALL, MD 21128-8816
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R231783
MD
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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