Individual
KALKIDAN KASSAHUN AYALEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10400 LITTLE PATUXENT PKWY, COLUMBIA, MD 21044-3518
(571) 977-6870
Mailing address
5205 ALDERSHOT DR, LANHAM, MD 20706-4155
(240) 593-1017
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2023100269
MD
Other
Enumeration date
11/03/2023
Last updated
05/08/2025
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