Individual
KIMBERLY EISENSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1450 FURNACE AVE, GLEN BURNIE, MD 21060-7002
(410) 222-6911
(410) 222-6916
Mailing address
210 MAY LN, EDGEWATER, MD 21037-2783
(410) 798-4451
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
R091744
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5685
—
MD
Enumeration date
04/24/2007
Last updated
07/08/2007
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