Individual provider · Type 1 NPI

Kelly Hausenbauer, P.A.

Medical Physician Assistant · Frederick, MD

NPI number 1053695304 Active

Practice location

310 W Ninth St
Frederick, MD 21701-4546

Call (301) 695-6800 Map

Fax (301) 695-6891

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XC0004612 (MD)

Medical Physician Assistant: Definition to come...

10 other providers at this address

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About NPI 1053695304

Kelly Hausenbauer, P.A.'s National Provider Identifier is 1053695304, issued on Oct 5, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Frederick, MD. The record was last updated on Oct 5, 2011.