Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly Anne Imphong

Individual provider Physician Assistant · NPI 1053644542

Kelly Anne Imphong is a Physician Assistant in Baltimore, Maryland. Registered with an NPI since 2009.

In the registry since
2009

Practice location Address checks out

301 St Paul Pl Dept OF Cardiology
Baltimore, MD 21202-2102
Phone: (410) 332-9722
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1053644542
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 15, 2009
Last updated in NPPESSeptember 15, 2009

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