Provider Demographics
NPI:1356956999
Name:HARROD, KAELY E (CLD)
Entity type:Individual
Prefix:MRS
First Name:KAELY
Middle Name:E
Last Name:HARROD
Suffix:
Gender:F
Credentials:CLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2409 SOUTHERN AVE APT 201
Mailing Address - Street 2:
Mailing Address - City:TEMPLE HILLS
Mailing Address - State:MD
Mailing Address - Zip Code:20748-4248
Mailing Address - Country:US
Mailing Address - Phone:240-441-7989
Mailing Address - Fax:
Practice Address - Street 1:2409 SOUTHERN AVE APT 201
Practice Address - Street 2:
Practice Address - City:TEMPLE HILLS
Practice Address - State:MD
Practice Address - Zip Code:20748-4248
Practice Address - Country:US
Practice Address - Phone:240-441-7989
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-10
Last Update Date:2020-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula