Individual
MRS. KATHLEEN A STORM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.P.
Contact information
Practice address
12510 OCEAN GTWY, OCEAN CITY, MD 21842-9690
(410) 213-1228
Mailing address
12510 OCEAN GTWY, OCEAN CITY, MD 21842-9690
(410) 213-1228
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R064798
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
264842
GBMC KAISER PERM
MD
01
—
KJ73-89370001
CAREFIRST OF MARYLAND GBM
MD
01
—
S1270006
CAREFIRST REGIONAL GBMC
MD
Enumeration date
03/09/2007
Last updated
02/13/2014
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