Provider Demographics
NPI:1386047553
Name:TRESSLER, KELLY ANN (PHARMD)
Entity type:Individual
Prefix:MRS
First Name:KELLY
Middle Name:ANN
Last Name:TRESSLER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7556 TEAGUE RD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:HANOVER
Mailing Address - State:MD
Mailing Address - Zip Code:21076-1213
Mailing Address - Country:US
Mailing Address - Phone:443-755-0060
Mailing Address - Fax:
Practice Address - Street 1:7556 TEAGUE RD
Practice Address - Street 2:SUITE 220
Practice Address - City:HANOVER
Practice Address - State:MD
Practice Address - Zip Code:21076-1213
Practice Address - Country:US
Practice Address - Phone:443-755-0060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-02
Last Update Date:2014-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD14984183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist