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Individual

KENNEDI VAN EYKEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC/LAT

Contact information

Practice address
1700 E COLD SPRING LN, BALTIMORE, MD 21251-0001
(443) 885-3333
Mailing address
1700 E COLD SPRING LN, BALTIMORE, MD 21251-0001

Taxonomy

Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
A0001123
MD

Other

Enumeration date
09/27/2018
Last updated
09/27/2018
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