Organization
COVENANT NEPHROLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN ROSSITER MD (PRESIDENT)
(410) 627-9548
Entity
Organization
Contact information
Practice address
13003 HEIL MANOR DR, REISTERSTOWN, MD 21136-5712
(410) 627-9548
Mailing address
13003 HEIL MANOR DR, REISTERSTOWN, MD 21136-5712
(410) 627-9548
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
10/01/2019
Last updated
10/01/2019
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