| Doctor Name: | DR. KELLI RENEE LUTTRELL |
| NPI Number: | 1104072123 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.O. |
| License Number: | H0068495 |
| Business Practice Address: | 223 Phillip Morris Dr Salisbury, MD - 218041923 |
| Business Phone Number: | 4105462424 |
| Business Fax Number: | 4107426633 |
| Mailing Address: | Po Box 1978, SALISBURY |
| State: | MD |
| Postal Code: | 218021978 |
| Phone Number: | 4107491015 |
| Fax Number: | 4107490654 |
| NPI Enumeration Date: | 08/10/2008 |
| NPI Last Update Date: | 04/07/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207V00000X |
| License Number: | H0068495 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |