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1629015508
KELLY A ELLIS
BALTIMORE, MD
NPI
1629015508
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: MD D0057379)
Enumeration Date
2006-06-01
Last Update Date
2008-01-10
Business Address
-- KELLY A ELLIS MD
6701 N CHARLES ST
BALTIMORE, MD 21204-6808
Phone number: 443-849-2225
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Mailing Address
-- KELLY A ELLIS MD
PO BOX 42934
PHILADELPHIA, PA 19101-2934
Phone number: 800-355-0808
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