KACEY LYNN FOGG

BALTIMORE, MD
NPI1700212842
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant Medical
(Licence: MD  C05221)
Enumeration Date2013-09-20
Last Update Date2015-08-31
Business Address
KACEY LYNN FOGG PA-C
345 SAINT PAUL PL
BALTIMORE, MD 21202-2123
Phone number: 410-332-9000
Mailing Address
KACEY LYNN FOGG PA-C
345 ST.PAUL PLACE
BALTIMORE, MD 21202-6502
Phone number: 410-332-9000
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