Individual
MS. MARY KATHRYN MACKANIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.M.
Contact information
Practice address
26005 RIDGE ROAD, SUITE 200, DAMASCUS, MD 20872-1899
(301) 414-2300
(301) 414-2306
Mailing address
26005 RIDGE ROAD, SUITE 200, DAMASCUS, MD 20872-1899
(301) 414-2300
(301) 414-2306
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
AC001541
MD
Other
Enumeration date
03/24/2006
Last updated
09/16/2015
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