Organization
K A N HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ODETTE NTAM NP (OWNER)
(240) 463-9739
Entity
Organization
Contact information
Practice address
5 BRIGHTON LN, GAITHERSBURG, MD 20877-1815
(240) 463-9739
Mailing address
5 BRIGHTON LN, GAITHERSBURG, MD 20877-1815
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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