Individual
KAYLA MARIE FUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHES
Contact information
Practice address
9000 FRANKLIN SQUARE DRIVE, BALTIMORE, MD 21237
(443) 777-8246
Mailing address
9000 FRANKLIN SQUARE DR, BALTIMORE, MD 21237-3901
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77792
—
MD
Enumeration date
06/08/2017
Last updated
06/08/2017
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