Our Providers

Thomas Dennis, MD

Dr. Tom Dennis has been practicing orthopaedics and hand surgery in the Annapolis area since 1991. He specializes in orthopaedic problems of the hand, wrist, elbow and pediatric upper extremity

Dr. Dennis grew up at the Jersey shore and graduated from Rutgers College with high honors in 1981. He received his doctorate at Rutgers Robert Wood Johnson Medical School. He graduated in 1985, and then completed five years of orthopaedic residency at the same facility. He completed his formal medical training with a Hand Fellowship at the Joseph H. Boyes Foundation at the University of Southern California in Los Angeles in 1991.

Dr. Dennis became a Board Certified orthopaedic surgeon in 1993, and is a Fellow of the American Academy of Orthopaedic Surgeons. He obtained his Certification of Added Qualifications in Hand Surgery in 1995 and in 1996 was elected into membership of the American Society for Surgery of the Hand. He has been on staff at Anne Arundel Medical Center since 1991. He is the past Chief of Orthopaedic Surgery at AAMC. He also served 2 terms on the Medical Executive Committee and was the previous Associate Chief of Orthopaedics. Dr. Dennis also serves as the Medical Director of Riva Road Surgery Center.

Dr. Dennis is married, has three daughters and two beautiful grandchildren. When not at work, he enjoys snowboarding, barefoot waterskiing and spending time on the water with his family.

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Dr. Leon J. Nesti, MD, PhD

Leon J. Nesti, MD PhD

Leon J. Nesti, MD PhD is a fellowship-trained, board certified Orthopaedic Hand and Upper Extremity Reconstructive Surgeon with Certification of Added Qualifications in Hand Surgery. He specializes in the treatment of problems affecting the peripheral nervous system, fingers, hand, wrist, forearm, elbow and utilizes advanced arthroscopic and minimally invasive surgical techniques when possible. Dr. Nesti has a particular interest and tremendous experience with the intrinsic biological healing properties of the body and is a proponent of stem cell and regenerative medicine techniques.

Dr. Nesti has lived in the Annapolis area for over two decades and has a wealth of clinical experience serving military beneficiaries since 2002 as an Active Duty Army Orthopaedic Surgeon at Walter Reed. He is a retired Army Colonel after over 20 years of service and has been the consulting Hand Surgeon to the United States Military Academy, the United States Naval Academy and the White House. Additionally, Dr. Nesti has served as the Director of the Walter Reed Hand Fellowship and the Walter Reed Peripheral Nerve Clinic. He is a Professor of Surgery and Professor of Neurosciences at The Uniformed Services University of the Health Sciences. Dr Nesti has served overseas on multiple combat deployments and has worked closely with Army Special Forces, Navy Seals, Marine Expeditionary Forces and Air Force PJ’s.

Dr. Nesti, a Vermont native, received his BS from the United State Military Academy at West Point, and his MD PhD through the clinician-scientist training program at Thomas Jefferson University and Jefferson Medical College (now Sidney Kimmel Medical College) in Philadelphia, PA. After completing his Orthopaedic Surgery residency at Walter Reed Army Medical Center, Dr. Nesti continued his subspecialty training in Hand and Upper Extremity Reconstructive Surgery in the combined Walter Reed, Curtis National Hand Center program. He is a Fellow of the American Academy of Orthopedic Surgeons, a Fellow of the American Orthopedic Association and an Active Member of the American Society for Surgery of the Hand.

Dr. Leon Nesti is married to Dr. Heather Nesti, an Ophthalmologist in Annapolis and they have three children who keep them very busy while not in the office or operating room. As a family they enjoy skiing, sailing, tennis and hiking and as parents they enjoy going to their children’s’ various sporting events or music concerts.

Kelly G. Kilcoyne, MD

Dr. Kilcoyne is a fellowship trained, board certified, shoulder and elbow surgeon. He served over 17 years as an Active Duty Orthopedic Surgeon in the U.S. Army. He specializes in all problems of the shoulder and elbow including rotator cuff tears, arthritis, shoulder dislocations, labral tears, biceps injuries and tears. He performs arthroscopic, minimally invasive and open surgeries of the shoulder and elbow, including standard and reverse shoulder replacements. He also offers the full complement of bioregenerative strategies such as platelet rich plasma (PRP) and bone marrow stem cell therapies.

Dr. Kilcoyne earned his undergraduate degree from Washington University in Saint Louis and earned his medical degree from the University of Maryland. He completed his orthopedic residency at Walter Reed National Military Medical Center in Bethesda, MD and then completed a subspecialty fellowship in shoulder and elbow surgery at the Johns Hopkins University in Baltimore, MD.

Dr. Kilcoyne spent his time in the army caring for our nation’s best – including soldiers, sailors, and airmen of all ranks. He has served the White House, members of Congress, and the Nation’s top military leaders. He was deployed as part of a Forward Surgical Team during 3 combats tours in Afghanistan and the Middle East.

During his time at Walter Reed he served as both a national and international referral source for the most complex shoulder and elbow injuries within the military. Dr. Kilcoyne holds the title of Professor of Surgery at the Uniformed Services University of Health Sciences. He has received several research awards and grants, with over 50 shoulder and elbow related publications in peer reviewed journals and text books.

He now lives in the Annapolis area with his wife and 4 children. He is a lifelong boater in the Chesapeake Bay area. When not in the office or operating room, you might find him fishing, crabbing or cruising on the water.

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Krystal Federici, DPT, CHT Certified Hand Therapist

Krystal graduated from Lee University with her Bachelors in Health Science in 2000, and earned her Doctorate in Physical Therapy from the University of Maryland Eastern Shore in 2005. She has treated patients in a variety of settings since then, including outpatient orthopedics, home health and acute care. Krystal became a Certified Hand Therapist (CHT) in 2017. She has enjoyed working at the Annapolis Hand Center focusing on upper extremity rehabilitation, with the challenges and complexities of treating that region.

In her free time Krystal enjoys spending time with her family, traveling, and enjoying local restaurants.

Amy Kitchens MSOTR/L, CHT
Certified Hand Therapist

A native Texan, Amy received her Bachelor of Science degree in Occupational Therapy in 1999 and her Masters in Rehabilitation Sciences in 2004 from Texas Tech University in Lubbock, TX. She has focused her practice in out-patient hand therapy since 2000 and obtained her Certified Hand Therapy credential in 2007. With over 20 years of experience, Amy has served in both clinical and leadership roles at large hospital organizations, out-patient clinics, and private physician practices. She has experience in post-operative and post trauma hand therapy as well as conservative management of hand and upper extremity conditions. Her passion lies in individualizing each patients plan to achieve their goals and improve their quality of life.

Amy is married and has two young daughters. She and her family moved to Southern Maryland in 2015 and have thoroughly enjoyed experiencing all four seasons and visiting many historical sites. When not in the clinic, Amy is busy raising her girls, staying fit, and decorating their home.

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Olivia Portner OTR/L, CHT

Olivia received her Bachelor of Science degree from the University of Georgia in 2018 and her Master of Occupational Therapy degree from Georgia State University in 2020. She has practiced in outpatient orthopedics with a focus in treating conditions affecting the upper extremity since beginning her career. She has a passion for learning and will obtain her Certified Hand Therapy Credential in 2024.

Olivia grew up in Annapolis and enjoys spending time with her family, indulging at local restaurants, and staying active with her dog, Sadie.