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NPI Code Detail

MEDICARE: DR. KRISTIN A CONLEY DO

MEDICARE: DR. KRISTIN A CONLEY DO
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
1207RE0101XEndocrinology, Diabetes & Metabolism PhysicianH82576MD
22083B0002XObesity Medicine (Preventive Medicine) PhysicianH0082576MD
3207R00000XInternal Medicine PhysicianH0082576MD

General Provider Information

NPI Number : 1023189958
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KRISTIN A CONLEY DO
Provider Business Mailing Address
First Line : PO BOX 37086
Second Line :
City : BALTIMORE
State : MD
Zip : 21297-3086
Country : US
Telephone Number : 240-439-8733
Fax Number :
Provider Business Practice Location Address
First Line : 7211 BANK CT
Second Line :
City : FREDERICK
State : MD
Zip : 21703-8483
Country : US
Telephone Number : 240-566-7830
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2006
Last Update Date : 07/30/2019

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