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Individual

KATHRYN PENNIMAN ALEXANDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DC CHIROPRACTOR

Contact information

Practice address
108 OLD SOLOMONS ISLAND RD, BLDG 2 STE A, ANNAPOLIS, MD 21401
(410) 266-1638
(410) 266-6205
Mailing address
PO BOX 188, EDGEWATER, MD 21037
(410) 266-1638
(410) 266-6205

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
502083
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
G3390001
BLUE CROSS BLUE SHIELD
MD
01
M683
BLUE CROSS BLUE SHIELD
MD
Enumeration date
11/22/2006
Last updated
07/08/2007
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