Individual
KIENDA GOSLEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2107 PEBBLE BEACH DR, ELKTON, MD 21921-6350
(443) 859-5986
Mailing address
2107 PEBBLE BEACH DR, ELKTON, MD 21921-6350
(443) 859-5986
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP46716
MD
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
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