Provider Demographics
NPI:1184482515
Name:TOWNSEND, KELLY J (CD(DONA), ICCE(ICEA))
Entity type:Individual
Prefix:MS
First Name:KELLY
Middle Name:J
Last Name:TOWNSEND
Suffix:
Gender:F
Credentials:CD(DONA), ICCE(ICEA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7816 WATERVIEW DR
Mailing Address - Street 2:
Mailing Address - City:ORCHARD BEACH
Mailing Address - State:MD
Mailing Address - Zip Code:21226-2115
Mailing Address - Country:US
Mailing Address - Phone:480-332-6290
Mailing Address - Fax:
Practice Address - Street 1:7816 WATERVIEW DR
Practice Address - Street 2:
Practice Address - City:ORCHARD BEACH
Practice Address - State:MD
Practice Address - Zip Code:21226-2115
Practice Address - Country:US
Practice Address - Phone:480-332-6290
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-11
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula