Kelly, Amanda
Kelly, Amanda is an individual health care provider with primary practice located at 103 Bata Blvd Ste A , Belcamp MD 21017-1420. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kelly, Amanda can be contacted via phone (410) 575-6611.Contact Information
Primary practice address
103 Bata Blvd Ste A
Belcamp MD 21017-1420
Phone: (410) 575-6611
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R195759 | Maryland |
Profile Details
| NPI number | 1669925194 |
|---|---|
| LBN Legal business name | Kelly, Amanda |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2016 |
| Last updated | Jun 20th, 2019 - about 7 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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