Individual provider · Type 1 NPI

Kelsey Brianna Suppa, PA-C

Physician Assistant · Glen Burnie, MD

NPI number 1053700815 Active

Practice location

301 Hospital Dr
Glen Burnie, MD 21061

Mailing address

1306 Oak Rd
Severna Park, MD 21146-3402

Other practice locations

  • 4940 Eastern Ave, Baltimore, MD 21224-2735 · (410) 491-2212

Specialties and licenses

TaxonomyCodeLicense
Surgery of the Hand (Plastic Surgery) Physician 2082S0105XC0005671 (MD)
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1053700815

Kelsey Brianna Suppa, PA-C's National Provider Identifier is 1053700815, issued on Jan 16, 2015. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Glen Burnie, MD. The record was last updated on Nov 6, 2023.