Most Relevant Information
Provider Data
| NPI Number: | 1003314014 |
| Provider Name: | KELLY LYNNE JARRETT ATP |
| Entity Type: | Individual |
| Taxonomy Code: | 225500000X |
| Specialty: | Specialist/Technologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/24/2018 |
| Last Updated: | 01/24/2018 |
Provider Practice Location
3501 TAYLOR AVE
BALTIMORE
MD
212364406
Practice Location Phone/Fax
| Phone: | 4104445000 |
| Fax: |
Provider Mailing Location
3501 TAYLOR AVE
BALTIMORE
MD
212364406
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |