Kelly, Debra A

Kelly, Debra A is an individual health care provider with primary practice located at 6701 N Charles St , Towson MD 21204-6808. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Kelly, Debra A can be contacted via phone (443) 849-2202.

Contact Information

Primary practice address
6701 N Charles St Towson MD 21204-6808
Phone: (443) 849-2202
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R163023 Maryland

Profile Details

NPI number 1386678464
LBN Legal business name Kelly, Debra A
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Oct 19th, 2010 - about 14 years ago

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1386678464 NPPES
Maryland Other 09PX CAREFIRST BLUE SHIELD
Maryland MEDICAID 403763400 CAREFIRST BLUE SHIELD

Popular Providers