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Organization

KHALANIS KURE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
IMANI V BRYAN FNP, CRNP (NURSE PRACTITIONER)
(617) 943-0892
Entity
Organization

Contact information

Practice address
1718 BELMONT AVE STE D, WINDSOR MILL, MD 21244-2552
(617) 943-0892
Mailing address
1718 BELMONT AVE STE D, BALTIMORE, MD 21244-2552
(443) 257-4477

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
363LP2300X
Primary Care Nurse Practitioner
Primary

Other

Enumeration date
09/06/2023
Last updated
04/22/2026
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