Individual
PENELOPE KAIKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3825 GREENSPRING AVENUE, BALTIMORE, MD 21211
(443) 923-2645
Mailing address
10009 GUNRIDGE CIRCLE, KINGSVILLE, MD 21087
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
08321
MD
Other
Enumeration date
09/14/2016
Last updated
09/14/2016
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