KELLY LLEWELLYN CRNP FNP-BC NPI 1336578947

NPI Information

Kelly Llewellyn, CRNP, FNP-BC is a family nurse practitioner in Frederick, MD with 11 years of experience. Kelly Llewellyn, CRNP, FNP-BC NPI is 1336578947. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9093 RIDGEFIELD DR
#104
FREDERICK, MD
ZIP 21701-710
Phone: (301) 682-4100
Fax: (301) 682-9100

The NPI 1336578947 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/4/2013 and was last updated on 8/2/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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