Individual
KAITLYN NICOLE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2558 CHEVAL DR, DAVIDSONVILLE, MD 21035-1128
(443) 223-1057
Mailing address
2558 CHEVAL DR, DAVIDSONVILLE, MD 21035-1128
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/29/2022
Last updated
07/05/2023
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