person
Mrs. Kelly Leigh Mack, PA-C
Medical Physician Assistant in Prince Frederick, Maryland
NPI 1396813960

Kelly Leigh Mack is a Medical Physician Assistant based in Kingwood, MD and is specialized in Medical. Kelly Leigh Mack practices in Prince Frederick, MD and has the professional credentials of PA-C. The NPI Number for Kelly Leigh Mack is 1396813960 and holds a License No. PA18061 (Maryland).

The current practice location address for Kelly Leigh Mack is 995 N. Prince Frederick Blvd, Prince Frederick, MD and can be reached out via phone at 410-535-5855 and via fax at 410-535-6574.

Location: 995 N. Prince Frederick Blvd, Prince Frederick, MD, 77345-2618
person
Provider Profile Details
NPI Number
1396813960
Provider Name
Kelly Leigh Mack
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
995 N. Prince Frederick Blvd, Prince Frederick, MD, 77345-2618
Phone Number
410-535-5855
Fax Number
410-535-6574
Provider Enumeration Date
12/01/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
995 N. Prince Frederick Blvd
City
State
Zip
20678
Phone Number
410-535-5855
Fax Number
410-535-6574
person
Provider Business Mailing Address Details
Address
995 N. Prince Frederick Blvd
City
State
Zip
20678
Phone Number
410-535-5855
Fax Number
410-535-6574
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA18061 (California)
Definition
Definition to come...
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