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Individual

KENNETH G MUTHEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1340 SMITH AVE STE 200, BALTIMORE, MD 21209-3796
(443) 500-9251
(410) 779-1314
Mailing address
202 SIPPLE AVE, NOTTINGHAM, MD 21236-4226
(443) 635-5572

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R221983
MD
364SP0812X
Community Psychiatric/Mental Health Clinical Nurse Specialist
R221983
MD

Other

Enumeration date
10/25/2022
Last updated
11/02/2023
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