Healthcare Provider Details

I. General information

NPI: 1992669873
Provider Name (Legal Business Name): KELSEY REED
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7671 QUARTERFIELD RD STE 200B
GLEN BURNIE MD
21061-4407
US

IV. Provider business mailing address

1138 CHARING CROSS DR
CROFTON MD
21114-1357
US

V. Phone/Fax

Practice location:
  • Phone: 667-296-5285
  • Fax:
Mailing address:
  • Phone: 443-848-6966
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberR252593
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: