Individual provider · Type 1 NPI

Mary Catherine Kelly, CRNP

Nurse Practitioner · Lutherville Timonium, MD

NPI number 1972653095 Active

Practice location

2525 Pot Spring Rd
Lutherville Timonium, MD 21093-2778

Call (410) 561-0200 Map

Fax (410) 561-0400

Mailing address

PO Box 62026
Baltimore, MD 21264-2026

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XR028542 (MD)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1972653095

Mary Catherine Kelly, CRNP's National Provider Identifier is 1972653095, issued on Jan 11, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lutherville Timonium, MD. The record was last updated on Jul 8, 2007.