Stefancik, Kelley J.
Stefancik, Kelley J. is an sole proprietor health care provider with primary practice located at 255 Hospital Dr Ste 208 , Glen Burnie MD 21061-5801. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurological Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Physician Assistants & Advanced Practice Nursing Providers / Family, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Stefancik, Kelley J. can be contacted via phone (410) 553-8160.Contact Information
Primary practice address
255 Hospital Dr Ste 208
Glen Burnie MD 21061-5801
Phone: (410) 553-8160
Fax: (410) 553-8159
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | R120913 | Maryland |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | R120913 | Maryland |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R120913 | Maryland |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | R120913 | Maryland |
Profile Details
| NPI number | 1194717983 |
|---|---|
| LBN Legal business name | Stefancik, Kelley J. |
| Credentials | C.R.N.P. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 17th, 2005 |
| Last updated | Jan 23rd, 2024 - about 8 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194717983 | NPPES |
| Other | 216966 | BRAVO HEALTH | |
| Other | 3405544 | BRAVO HEALTH | |
| Other | 11583185 | BRAVO HEALTH | |
| Other | 546903-14 8756-0002 | BRAVO HEALTH | |
| MEDICAID | 680010600 | BRAVO HEALTH |
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