Individual
KIMLOAN MERCHANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8601 VETERANS HWY, MILLERSVILLE, MD 21108-1547
(410) 553-8092
Mailing address
8601 VETERANS HWY, MILLERSVILLE, MD 21108-1547
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
RN2277526
MA
Other
Enumeration date
03/29/2016
Last updated
06/22/2016
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