Individual
BETHANY KANNEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 ORLEANS ST, BALTIMORE, MD 21287-0010
(410) 955-2000
Mailing address
1800 ORLEANS ST, BALTIMORE, MD 21287-0010
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R224335
MD
Other
Enumeration date
03/16/2017
Last updated
05/20/2017
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