Healthcare Provider Details

I. General information

NPI: 1154247963
Provider Name (Legal Business Name): KELLY HARKINS NRP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 N ROGERS ST
ABERDEEN MD
21001-2442
US

IV. Provider business mailing address

743 W MINER ST
WEST CHESTER PA
19382-2146
US

V. Phone/Fax

Practice location:
  • Phone: 410-272-2211
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146L00000X
TaxonomyParamedic
License Number1750667
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: