Individual
TERRY BOYLE KENYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
210 GUILFORD AVE, 2ND FLOOR, SBHC, BALTIMORE, MD 21202-3621
(410) 396-8615
(410) 545-6636
Mailing address
8660 DOVES FLY WAY, LAUREL, MD 20723-1248
(401) 396-9472
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R109107
MD
Other
Enumeration date
02/25/2007
Last updated
07/08/2007
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