KELLY ANNE IMPHONG
NPI 1053644542
Physician Assistant in Baltimore, MD

Active since September 15, 2009
301 ST. PAUL PLACE, DEPT. OF CARDIOLOGY, BALTIMORE, MD 21202(410) 332-9722 Get Directions Write a Review

NPPES record last updated: September 15, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Anne Imphong NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY ANNE IMPHONG (NPI 1053644542) is an individual physician assistant in Baltimore, Maryland and active in the NPI registry since September 2009.

NPPES Registry Identity

NPI1053644542
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLY ANNE IMPHONG
Location Address301 ST. PAUL PLACE, DEPT. OF CARDIOLOGYBaltimore, MD 21202-2102
Mailing Address301 St. Paul Place, Medical Staff OfficeBaltimore, MD 21202-2102
Sole ProprietorNo
Enumeration DateSeptember 15, 2009
NPI 1053644542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
301 ST. PAUL PLACE, Baltimore, MD 21202

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Psychiatry)
301 ST. PAUL PLACE
BALTIMORE, MD 21202
Internal Medicine (Rheumatology)
301 ST. PAUL PLACE, RHEUMATOLOGY OFFICE - POB # 411
BALTIMORE, MD 21202
Nurse Practitioner (Family)
301 ST. PAUL PLACE, # 402
BALTIMORE, MD 21202
Nurse Practitioner (Acute Care)
301 ST. PAUL PLACE, ER DEPT.
BALTIMORE, MD 21202
Psychiatry & Neurology (Psychiatry)
301 ST. PAUL PLACE
BALTIMORE, MD 21202
Physician Assistant (Surgical)
301 ST. PAUL PLACE, LOBBY LEVEL
BALTIMORE, MD 21202
Physician Assistant (Surgical)
301 ST. PAUL PLACE, LOWER LEVEL
BALTIMORE, MD 21202
Physician Assistant (Medical)
301 ST. PAUL PLACE, TIDEPOINT-CREDENTIALING
BALTIMORE, MD 21202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Imphong's NPI number?

The NPI number for Kelly Imphong is 1053644542. It was assigned to this individual provider in the NPPES registry on September 15, 2009.

Where is Kelly Imphong located?

Kelly Imphong practices at 301 St. Paul Place Dept. Of Cardiology, Baltimore, MD 21202. The listed phone number is (410) 332-9722.

What is Kelly Imphong's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Kelly Imphong was last updated on September 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.