Individual
JILL KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
MEYER 1 104 600 N WOLFE ST, BALTIMORE, MD 21287-0001
(310) 903-8895
Mailing address
MEYER 1-104, 600 N. WOLFE ST., BALTIMORE, MD 21287
(310) 903-8895
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
5203
MD
Other
Enumeration date
04/05/2011
Last updated
12/09/2011
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