NPI 1053695304

Kelly Hausenbauer, PA

Practitioner Medical Physician Assistant Frederick, MD

Practice location

Address: 310 W Ninth St, Frederick, MD 21701-4546
Phone: (301) 695-6800
Fax: (301) 695-6891

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence C0004612 (MD)

Other Physician Assistant providers in Maryland →

Registry record

NPI: 1053695304
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Oct 2011
Record last updated: 5 Oct 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.