Individual
KENNEDY N KWENDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
9117 SUMNER GROVE DR, LAUREL, MD 20708-3541
(240) 393-3602
Mailing address
9117 SUMNER GROVE DR, LAUREL, MD 20708-3541
(240) 393-3602
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
R214079
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R214079
MD
Other
Enumeration date
05/17/2023
Last updated
12/30/2024
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