Individual
MRS. KIMBERLY RUTH MAENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-8667
Mailing address
620 W LEXINGTON ST STE 5110, BALTIMORE, MD 21201-1508
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
01/12/2016
Last updated
09/20/2021
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