Individual
KIMROS BUCHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
9048 BALIN CT, PIKESVILLE, MD 21208-2143
(410) 864-0792
Mailing address
9048 BALIN CT, PIKESVILLE, MD 21208-2143
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP53952
MD
Other
Enumeration date
06/11/2020
Last updated
06/15/2020
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