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Organization
KL GORING LLC
Active
Organization
KL GORING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIM LESLEY GORING MD (OWNER)
(240) 223-7308
Entity
Organization
Contact information
Practice address
995 PRINCE FREDERICK BLVD STE 101, PRINCE FREDERICK, MD 20678-3199
(410) 414-6550
(443) 968-9205
Mailing address
9962 CYPRESS WAY, LAUREL, MD 20723-6021
(240) 223-7308
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
56571
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265404883
—
MD
Enumeration date
06/18/2017
Last updated
06/18/2017
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