Individual
DR. KEVIN SAMUEL NINAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
224 HARBINGER DR, DERWOOD, MD 20855-1641
(301) 661-1180
Mailing address
224 HARBINGER DR, DERWOOD, MD 20855-1641
(301) 661-1180
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20811
MD
Other
Enumeration date
11/12/2020
Last updated
11/12/2020
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