Harkless, Kelli Teresa

Harkless, Kelli Teresa is an individual health care provider with primary practice located at 200 Hospital Dr # 300 , Glen Burnie MD 21061-5884. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Harkless, Kelli Teresa can be contacted via phone (410) 837-2050.

Contact Information

Primary practice address
200 Hospital Dr # 300 Glen Burnie MD 21061-5884
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X R219884 Maryland

Profile Details

NPI number 1700239993
LBN Legal business name Harkless, Kelli Teresa
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2016
Last updated Oct 17th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700239993 NPPES
Maryland Other R219884 STATE LICENSE

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