Provider Demographics
NPI:1770383309
Name:DILLON, KELSEY ALYCIA RENEE (DOULA (IN TRAINING))
Entity type:Individual
Prefix:
First Name:KELSEY
Middle Name:ALYCIA RENEE
Last Name:DILLON
Suffix:
Gender:
Credentials:DOULA (IN TRAINING)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8988 WATCHLIGHT CT
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-4224
Mailing Address - Country:US
Mailing Address - Phone:443-910-4015
Mailing Address - Fax:
Practice Address - Street 1:8988 WATCHLIGHT CT
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-4224
Practice Address - Country:US
Practice Address - Phone:443-910-4015
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-13
Last Update Date:2025-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula