Kelly Rae London, PA-C
Physician Assistant in Baltimore, MD. Individual provider (NPI-1).
NPI number1255595708
StatusActive
Last updated in NPPESSep 22, 2026
Details
- NPI
- 1255595708
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Kelly Rae London
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 14, 2008
- Certification date
- Sep 22, 2026
- Last updated
- Sep 22, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | C0004441 | MD | Yes |
Practice location
9103 Franklin Square Dr Ste 305Baltimore, MD 21237-3939
Phone 443-777-7608 · Fax 443-777-8218
Mailing address
9103 Franklin Square Dr Ste 305Baltimore, MD 21237-3939
Phone 443-777-7608 · Fax 443-777-8218
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