Organization
CRISFIELD CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KERRY COLLEEN PALAKANIS CRNP (OWNER)
(443) 493-0062
Entity
Organization
Contact information
Practice address
6062 BRIDLE CT, SALISBURY, MD 21801-1715
(443) 493-0062
Mailing address
4384 CRISFIELD HWY, CRISFIELD, MD 21817-2550
(443) 493-0062
(443) 782-0076
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R105366
MD
Other
Enumeration date
04/06/2012
Last updated
04/06/2012
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