Individual
KEYONNA NICKARA SILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
14090 HG TRUEMAN RD, SUITE 2100, SOLOMONS, MD 20688-3151
(410) 394-3712
(410) 394-3714
Mailing address
100 HOSPITAL RD, ATT: CONTRACT & CREDENTIALING COORD., PRINCE FREDERICK, MD 20678-4017
(410) 414-4791
(410) 414-4558
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H0081227
MD
207Q00000X
Family Medicine Physician
OT015019
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110222200
—
MD
Enumeration date
05/28/2013
Last updated
06/21/2022
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