Individual
SANDRA KPODO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1590
(410) 328-8667
Mailing address
900 ELKRIDGE LANDING RD FL 2, LINTHICUM, MD 21090-2924
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00403200
NJ
363A00000X
Physician Assistant
Primary
C0006661
MD
363A00000X
Physician Assistant
MA058427
PA
Other
Enumeration date
10/17/2016
Last updated
04/23/2025
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