Individual
KEENA DILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
5100 EASTERN AVE, BALTIMORE, MD 21224-2772
(410) 814-4500
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
(804) 968-5700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0003448
MD
Other
Enumeration date
06/21/2010
Last updated
03/31/2021
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