Individual
KAITLYN O'HARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10750 COLUMBIA PIKE # 5021, SILVER SPRING, MD 20901-4402
(301) 593-5440
Mailing address
2353 LACONIA CT, CROFTON, MD 21114-3228
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R231497
MD
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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