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KENNETH CHIJIOKE EGUZO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PMHNP

Contact information

Practice address
9000 FRANKLIN SQUARE DR, BALTIMORE, MD 21237-3901
(443) 777-7000
Mailing address
9877 DECATUR RD, MIDDLE RIVER, MD 21220-3776
(443) 370-2946

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R203991
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
256021600
MD
Enumeration date
08/01/2019
Last updated
08/26/2021
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