Search › Maryland › 363AM0700X
Kelly Mack, PA-C
NPI 1396813960 · on the registry since 2006
Practice
- Address
- 995 N. Prince Frederick Blvd
Suite 204
Prince Frederick, MD 20678 - Phone
- (410) 535-5855
- Fax
- (410) 535-6574
- Organisation at this address
- Meraj Dental Spa, Pa
Patuxent Rheumatology Associates,LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Also registered as
- 363AM0700X
- Licence states on file
- CA, TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-08-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland