NPI 1053700815

Kelsey Brianna Suppa, PAC

Practitioner Physician Assistant Glen Burnie, MD

Practice location

Address: 301 Hospital Dr, Glen Burnie, MD 21061
Phone: (410) 787-4000
Mailing address: 1306 Oak Rd, Severna Park, MD 21146-3402

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

Other Physician Assistant providers in Maryland →

Surgery of the Hand (Plastic Surgery) Physician

Allopathic & Osteopathic Physicians Taxonomy 2082S0105X Licence C0005671 (MD)

Other Plastic Surgery providers in Maryland →

Registry record

NPI: 1053700815
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Jan 2015
Record last updated: 6 Nov 2023

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.