KELLY HAUSENBAUER

FREDERICK, MD
NPI1053695304
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: MD  C0004612)
Enumeration Date2011-10-05
Last Update Date2011-10-05
Business Address
-- KELLY HAUSENBAUER P.A.
310 W NINTH ST
FREDERICK, MD 21701-4546
Phone number: 301-695-6800
Mailing Address
-- KELLY HAUSENBAUER P.A.
310 W NINTH ST
FREDERICK, MD 21701-4546
Phone number: 301-695-6800
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