Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | H0082576 | MD |
Y | 111NI0900X | Internist | H0082576 | MD |
N | 207RE0101X | Endocrinologist (Diabetes Doctor) | H82576 | MD |
NPI | 1023189958 |
---|---|
Provider Name | Dr. Kristin A Conley |
First Address | Baltimore, MD 21297-3086 |
Second Address | Frederick, MD 21703-8483 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/11/2006 |
Last Update Date | 30/07/2019 |