Kelley J. Stefancik is a Surgery Physician based in Glen Burnie, MD. Kelley J. Stefancik practices in Glen Burnie, MD and has the professional credentials of CRNP. The NPI Number for Kelley J. Stefancik is 1194717983 and holds a License No. R120913 (Maryland).
The current practice location address for Kelley J. Stefancik is 255 Hospital Dr Ste 208, Glen Burnie, MD and can be reached out via phone at 410-553-8160 and via fax at 410-553-8159.
Location: 255 Hospital Dr Ste 208, Glen Burnie, MD, 21061-5803
Provider Profile Details
NPI Number
1194717983
Provider Name
Kelley J. Stefancik
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
255 Hospital Dr Ste 208, Glen Burnie, MD, 21061-5803
Phone Number
410-553-8160
Fax Number
410-553-8159
Provider Enumeration Date
08/17/2005
Last Update Date
03/08/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 216966 | 01 | BRAVO HEALTH | |
| 3405544 | 01 | CIGNA | |
| 11583185 | 01 | CAQH | |
| 546903-14 8756-0002 | 01 | CAREFIRST BLUE CROSS BLUE SHIELD | |
| 680010600 | 05 | MD |
Provider Business Practice Location Address Details
Address
255 Hospital Dr Ste 208
City
State
Zip
21061-5801
Phone Number
410-553-8160
Fax Number
410-553-8159
Provider Business Mailing Address Details
Address
255 Hospital Dr Ste 208
City
State
Zip
21061-5801
Phone Number
410-553-8160
Fax Number
410-553-8159
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Neurological Surgery
Speciality
-
Taxonomy
License No.
R120913 (Maryland)
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
-
Taxonomy
License No.
R120913 (Maryland)
Definition
An orthopedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
-
Taxonomy
License No.
R120913 (Maryland)
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R120913 (Maryland)
Definition
Definition to come...
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