HomeNPI Verification

NPI Verification

National Provider Identifier: 1881186864

Kelly MaCcubbin Allan, NP

Individual Provider

Credentials

Primary Specialty

Nurse Practitioner, Family

Code: 363LF0000X

All Specialties (2)

Internal Medicine

Code: 207R00000X

Nurse Practitioner, Family

Code: 363LF0000X

Primary

Practice Address

909 RIDGEBROOK RD STE 300

SPARKS GLENCOE, MD 211529477

Phone: 443-383-9300

NPI Enumeration Date

June 5, 2018

NPI Number

1881186864

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry