Kelly Ettari
Kelly Ettari is a Student in an Organized Health Care Education/Training Program in Baltimore, Maryland. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
9000 Franklin Square DrBaltimore, MD 21237-3901
Phone: (443) 777-7000
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Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1386412542 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | December 18, 2023 |
| Last updated in NPPES | January 31, 2024 |
| Certification date | January 31, 2024 |
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