Individual
MR. KEN RAYMOND HERMAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
800 TYDINGS LN, HAVRE DE GRACE, MD 21078-2102
(800) 799-4673
Mailing address
702 BURNSIDE DR, BEL AIR, MD 21015-4812
(443) 252-1788
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R206179
MD
Other
Enumeration date
09/26/2024
Last updated
09/26/2024
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