Individual
KEVIN D TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
609 DAFFIN LN, DENTON, MD 21629-1392
(410) 479-2650
Mailing address
920 ELKRIDGE LANDING RD, LINTHICUM, MD 21090-2917
(410) 684-2031
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101243883
VA
207Q00000X
Family Medicine Physician
Primary
D0073949
MD
Other
Enumeration date
08/09/2006
Last updated
01/11/2017
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