Healthcare Provider Details

I. General information

NPI: 1144152513
Provider Name (Legal Business Name): MARIE KILEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 UPPER CHESAPEAKE DR STE 206
BEL AIR MD
21014-4360
US

IV. Provider business mailing address

329 POINT TO POINT RD
BEL AIR MD
21015-6150
US

V. Phone/Fax

Practice location:
  • Phone: 410-879-9100
  • Fax:
Mailing address:
  • Phone: 443-866-8048
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberR228545
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: