Vasquenza, Kelly J

Vasquenza, Kelly J is an individual health care provider with primary practice located at 600 N Wolfe Street Blalock 904, Baltimore MD 21287-0005. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Pain Management, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Vasquenza, Kelly J can be contacted via phone (410) 614-6222.

Contact Information

Primary practice address
600 N Wolfe Street Blalock 904 Baltimore MD 21287-0005
Phone: (410) 614-6222
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pain Management 163WP0000X R127273 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 20010086 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R127273 Maryland

Profile Details

NPI number 1770764870
LBN Legal business name Vasquenza, Kelly J
Credentials C.R.N.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2007
Last updated Apr 29th, 2011 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770764870 NPPES
Other T0910 JHH

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