Individual
DR. KENNETH S VILLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14090 HG TRUEMAN RD, SUITE 2100, SOLOMONS, MD 20688
(410) 394-3712
(410) 394-3714
Mailing address
9910 FRANKLIN SQUARE DR STE 2110, BALTIMORE, MD 21236-4902
(410) 933-5412
(410) 933-1390
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0067495
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
415733800
—
MD
Enumeration date
01/07/2008
Last updated
06/04/2021
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