Individual
DR. JEMIMA KANKAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13639 BALTIMORE AVENUE, LAUREL, MD 20707-5095
(301) 604-4830
(301) 604-4929
Mailing address
13639 BALTIMORE AVENUE, LAUREL, MD 20707
(301) 604-4830
(301) 604-4929
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D0030505
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
430091200
—
MD
Enumeration date
04/02/2007
Last updated
01/26/2012
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