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Individual

SAMUEL KPECHI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
X
Credential
REGISTERED NURSE

Contact information

Practice address
5532 PERKINS CIRCLE, WHITE MARSH, MD 21162
(443) 600-6071
(443) 525-8766
Mailing address
5532 PERKINS CIR, WHITE MARSH, MD 21162-1728
(443) 600-6071
(443) 525-8766

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
R249981
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
224227300
MD
05
883181915
MD
Enumeration date
04/17/2025
Last updated
04/17/2025
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