Individual provider · Type 1 NPI

Kelly Rae London, PA-C

Physician Assistant · Baltimore, MD

NPI number 1255595708 Active

Practice location

9103 Franklin Square Dr Ste 305
Baltimore, MD 21237-3939

Call (443) 777-7608 Map

Fax (443) 777-8218

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XC0004441 (MD)

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 1255595708

Kelly Rae London, PA-C's National Provider Identifier is 1255595708, issued on Jul 14, 2008. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Baltimore, MD. The record was last updated on Sep 22, 2026.