| Kelli K Mccallum | |
|
3721 Chesmont Ave Baltimore MD 21206-5041 | |
| (443) 600-0105 | |
| Not Available |
| Full Name | Kelli K Mccallum |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 3721 Chesmont Ave, Baltimore, Maryland |
| Authorized Official Name and Position | Kelli Mccallum (NURSE PRACTITIONER) |
| Authorized Official Contact | 4436000105 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelli K Mccallum 3721 Chesmont Ave Baltimore MD 21206-5041 Ph: (443) 600-0105 | Kelli K Mccallum 3721 Chesmont Ave Baltimore MD 21206-5041 Ph: (443) 600-0105 |
| NPI Number | 1831508829 |
|---|---|
| Provider Enumeration Date | 08/05/2014 |
| Last Update Date | 01/07/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831508829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | R177915 (Maryland) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | R177915 (Maryland) | Primary |
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