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NPI Code Detail

MEDICARE: KARIS ELENA KELLNER PA-C, CAQ-EM

MEDICARE: KARIS ELENA KELLNER PA-C, CAQ-EM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant8046AZ
2363AM0700XMedical Physician Assistant3187SC
3363AM0700XMedical Physician AssistantPA200002098DC

General Provider Information

NPI Number : 1386116226
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARIS ELENA KELLNER PA-C, CAQ-EM
Provider Business Mailing Address
First Line : 6201 GREENLEIGH AVE
Second Line :
City : BALTIMORE
State : MD
Zip : 21220-2004
Country : US
Telephone Number : 410-933-6423
Fax Number :
Provider Business Practice Location Address
First Line : 5255 LOUGHBORO RD NW STE 1020
Second Line :
City : WASHINGTON
State : DC
Zip : 20016-2633
Country : US
Telephone Number : 202-537-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/17/2018
Last Update Date : 02/16/2026

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