KELLY R EDMONDSON CNP, R.N.
NPI 1417987793
Nurse Practitioner - Family in Nottingham, MD

Active since July 03, 2006
5230 CAMPBELL BLVD, NOTTINGHAM, MD 21236(330) 263-8428(330) 263-8190 Get Directions Write a Review

NPPES record last updated: March 23, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly R Edmondson Cnp, R.n. NPPES

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

KELLY R EDMONDSON CNP, R.N. (NPI 1417987793) is an individual family provider in Nottingham, Maryland, licensed in Maryland (R210039) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1417987793
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY R EDMONDSONCredential: CNP, R.N.
Location Address5230 CAMPBELL BLVDNottingham, MD 21236-4983
Mailing Address9146 Lennings LnBaltimore, MD 21237-4307 · (330) 263-8428 · Fax (330) 263-8190
Fax(330) 263-8190
Sole ProprietorNo
Enumeration DateJuly 3, 2006
Last NPPES UpdateMarch 23, 2016
NPI 1417987793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in MD · R210039 Licensed in AL · NP08869
5230 CAMPBELL BLVD, Nottingham, MD 21236

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.

Nurse Practitioner (Family)
5230 CAMPBELL BLVD
NOTTINGHAM, MD 21236
Pharmacist
5230 CAMPBELL BLVD
NOTTINGHAM, MD 21236
Pharmacist
5230 CAMPBELL BLVD
NOTTINGHAM, MD 21236
Nurse Practitioner (Family)
5230 CAMPBELL BLVD
NOTTINGHAM, MD 21236
Pharmacy Technician
5230 CAMPBELL BLVD
NOTTINGHAM, MD 21236
Nurse Practitioner (Family)
5230 CAMPBELL BLVD
NOTTINGHAM, MD 21236
Pharmacy Technician
5230 CAMPBELL BLVD
NOTTINGHAM, MD 21236
Pharmacist
5230 CAMPBELL BLVD
NOTTINGHAM, MD 21236

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 Edmondson's NPI number?

The NPI number for Kelly Edmondson is 1417987793. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Where is Kelly Edmondson located?

Kelly Edmondson practices at 5230 Campbell Blvd, Nottingham, MD 21236. The listed phone number is (330) 263-8428.

What is Kelly Edmondson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Kelly Edmondson was last updated on March 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.