Individual provider · Type 1 NPI
Kacey Lynn Fogg, PA-C
Medical Physician Assistant · Baltimore, MD
NPI number
1700212842
Active
Practice location
345 Saint Paul Pl
Baltimore, MD 21202-2123
Mailing address
345 St.paul Place
Baltimore, MD 21202-6502
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | C05221 (MD) |
Medical Physician Assistant: Definition to come...
4 other providers at this address
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About NPI 1700212842
Kacey Lynn Fogg, PA-C's National Provider Identifier is 1700212842, issued on Sep 20, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Baltimore, MD. The record was last updated on Aug 31, 2015.