Individual
KEISCHA L GLENN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
301 SAINT PAUL PL, ER, BALTIMORE, MD 21202-2102
(410) 332-9809
(410) 545-5167
Mailing address
PO BOX 64075, BALTIMORE, MD 21264-4075
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
H0057390
MD
Other
Enumeration date
06/05/2006
Last updated
07/08/2007
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